Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $52.78 / $338.08	Facility		$52.78	$52.78	$338.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $52.78 / $327.27	Professional		$46.36	$52.78	$327.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.09 / $165.13 / $371.96	Facility		$40.09	$165.13	$371.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $52.58 / $99.34	Professional		$52.11	$52.58	$99.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.74 / $247.75	Facility		$96.60	$138.74	$247.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $155.49 / $362.17	Professional		$63.33	$155.49	$362.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $66.78 / $66.78	Facility		$54.81	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $71.18	Professional		$48.75	$48.75	$71.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $65.81 / $128.90	Professional		$54.85	$65.81	$128.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $82.03 / $181.63	Professional		$70.31	$82.03	$181.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $556.61 / $556.61	Facility		$211.59	$556.61	$556.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $684.99 / $684.99	Professional		$668.93	$684.99	$684.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $204.77 / $204.77	Professional		$204.77	$204.77	$204.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $99.89 / $118.89	Facility		$28.31	$99.89	$118.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $103.47	Professional		$48.75	$66.78	$103.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $221.16 / $221.16	Professional		$221.16	$221.16	$221.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $93.25 / $93.74	Professional		$54.85	$93.25	$93.74
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $117.18 / $117.18	Facility		$99.60	$117.18	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $43.92 / $105.81	Professional		$40.54	$43.92	$105.81