Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $52.54 / $264.45	Facility		$52.54	$52.54	$264.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $52.53 / $146.63	Professional		$31.75	$52.53	$146.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $63.45 / $109.79	Facility		$41.48	$63.45	$109.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $53.80 / $58.10	Professional		$44.11	$53.80	$58.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $112.13 / $200.23	Facility		$92.60	$112.13	$200.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $97.06 / $231.68	Professional		$49.54	$97.06	$231.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $72.81	Facility		$52.17	$52.17	$72.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $59.30	Professional		$44.34	$44.34	$59.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $57.38 / $68.86	Professional		$23.37	$57.38	$68.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $52.72 / $116.73	Professional		$18.18	$52.72	$116.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $256.42 / $256.42	Facility		$101.60	$256.42	$256.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $390.45 / $391.82 / $391.82	Professional		$390.45	$391.82	$391.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $165.98 / $165.98	Professional		$165.98	$165.98	$165.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $25.97 / $52.17	Facility		$18.91	$25.97	$52.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $44.34 / $59.30	Professional		$38.97	$44.34	$59.30
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 $20.78 / $57.38 / $74.59	Professional		$20.78	$57.38	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $41.86 / $81.67	Professional		$36.11	$41.86	$81.67