Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $58.48 / $374.62	Facility		$58.48	$58.48	$374.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $58.48 / $374.62	Professional		$44.34	$58.48	$374.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $182.97 / $412.15	Facility		$44.96	$182.97	$412.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $59.94 / $120.75	Professional		$59.66	$59.94	$120.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $153.71 / $274.48	Facility		$96.60	$153.71	$274.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $172.27 / $401.27	Professional		$70.17	$172.27	$401.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $83.99 / $83.99	Facility		$60.73	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $89.54	Professional		$61.31	$61.31	$89.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $74.47 / $142.82	Professional		$62.06	$74.47	$142.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $90.89 / $201.25	Professional		$77.90	$90.89	$201.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $235.26 / $616.74 / $616.74	Facility		$235.26	$616.74	$616.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.76 / $761.63 / $761.63	Professional		$743.76	$761.63	$761.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $253.13	Professional		$253.13	$253.13	$253.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $112.78 / $134.72	Facility		$31.36	$112.78	$134.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $83.99 / $110.36	Professional		$61.31	$83.99	$110.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.06 / $245.06 / $245.06	Professional		$245.06	$245.06	$245.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $103.87 / $103.87	Professional		$62.06	$103.87	$103.87
United Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $57.79 / $182.08	Professional		$46.23	$57.79	$182.08