Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $50.40 / $264.45	Facility		$50.40	$50.40	$264.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $50.39 / $73.90	Professional		$40.04	$50.39	$73.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $139.09 / $290.92	Facility		$38.27	$139.09	$290.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $50.86 / $87.34	Professional		$45.81	$50.86	$87.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $108.51 / $193.76	Facility		$92.60	$108.51	$193.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $121.60 / $283.27	Professional		$49.54	$121.60	$283.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $72.81	Facility		$58.60	$58.60	$72.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $62.47	Professional		$42.78	$42.78	$62.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $58.80 / $100.82	Professional		$49.00	$58.80	$100.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $64.16 / $142.06	Professional		$54.99	$64.16	$142.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $437.39 / $437.39	Facility		$147.55	$437.39	$437.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $687.38	Professional		$473.70	$473.70	$687.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $283.55 / $283.55	Professional		$283.55	$283.55	$283.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $82.66 / $94.42	Facility		$27.03	$82.66	$94.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $87.23	Professional		$42.78	$58.60	$87.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $172.99 / $172.99	Professional		$172.99	$172.99	$172.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $73.31 / $73.50	Professional		$49.00	$73.31	$73.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $41.86 / $87.21	Professional		$38.11	$41.86	$87.21