Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $45.41 / $246.89	Facility		$45.41	$45.41	$246.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $45.41 / $246.89	Professional		$36.46	$45.41	$246.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $125.35 / $271.66	Facility		$34.49	$125.35	$271.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $45.98 / $93.76	Professional		$45.98	$45.98	$93.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.94 / $101.32 / $180.92	Facility		$87.94	$101.32	$180.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $113.54 / $264.45	Professional		$46.25	$113.54	$264.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $65.20 / $70.19	Facility		$40.03	$65.20	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $79.79	Professional		$47.60	$47.60	$79.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $37.57 / $94.14	Professional		$31.31	$37.57	$94.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $59.91 / $132.65	Professional		$51.35	$59.91	$132.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.66 / $406.51 / $406.51	Facility		$204.66	$406.51	$406.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $443.03 / $453.69 / $567.08	Professional		$443.03	$453.69	$567.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $182.69 / $182.69	Professional		$182.69	$182.69	$182.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $74.33 / $89.12	Facility		$24.35	$74.33	$89.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $77.09	Professional		$47.60	$65.20	$77.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $161.51 / $161.51	Professional		$161.51	$161.51	$161.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $53.23 / $68.45	Professional		$31.31	$53.23	$68.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $37.72 / $81.20	Professional		$34.25	$37.72	$81.20