Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $54.24 / $284.68	Facility		$24.04	$54.24	$284.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $54.24 / $195.59	Professional		$34.17	$54.24	$195.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $48.77 / $117.43	Facility		$38.21	$48.77	$117.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $54.36 / $57.44	Professional		$49.30	$54.36	$57.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $116.81 / $208.59	Facility		$93.30	$116.81	$208.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $97.40 / $249.40	Professional		$53.33	$97.40	$249.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $78.38	Facility		$57.67	$57.67	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $72.00	Professional		$42.10	$42.10	$72.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $52.74 / $63.29	Professional		$25.16	$52.74	$63.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $56.74 / $125.64	Professional		$19.57	$56.74	$125.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $275.93 / $275.93	Facility		$109.34	$275.93	$275.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $421.74 / $421.74	Professional		$420.15	$421.74	$421.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Professional		$178.63	$178.63	$178.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $29.09 / $68.34	Facility		$27.95	$29.09	$68.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $42.10 / $70.38	Professional		$32.56	$42.10	$70.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $186.23 / $186.23	Professional		$186.23	$186.23	$186.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $52.74 / $68.56	Professional		$22.36	$52.74	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $45.05 / $88.96	Professional		$38.19	$45.05	$88.96