Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $77.34 / $495.34	Facility		$77.34	$77.34	$495.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $77.34 / $495.34	Professional		$57.99	$77.34	$495.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $241.93 / $544.96	Facility		$58.73	$241.93	$544.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $78.30 / $119.75	Professional		$62.81	$78.30	$119.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $203.25 / $362.94	Facility		$96.60	$203.25	$362.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $227.79 / $530.58	Professional		$92.79	$227.79	$530.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $80.45 / $91.77	Facility		$80.30	$80.45	$91.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $82.86	Professional		$58.73	$58.73	$82.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $89.80 / $188.85	Professional		$74.83	$89.80	$188.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $120.18 / $266.10	Professional		$103.01	$120.18	$266.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.38 / $675.46 / $815.48	Facility		$261.38	$675.46	$815.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $892.26 / $913.68 / $999.45	Professional		$892.26	$913.68	$999.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $335.76 / $335.76	Professional		$335.76	$335.76	$335.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $149.12 / $172.50	Facility		$41.47	$149.12	$172.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $125.74	Professional		$58.73	$80.45	$125.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $324.04 / $324.04	Professional		$324.04	$324.04	$324.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $127.21 / $137.34	Professional		$74.83	$127.21	$137.34
United Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $64.23 / $163.11	Professional		$59.39	$64.23	$163.11