Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $56.34 / $360.85	Facility		$56.34	$56.34	$360.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $56.34 / $360.85	Professional		$41.26	$56.34	$360.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $176.25 / $397.01	Facility		$42.78	$176.25	$397.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $57.04 / $112.43	Professional		$56.34	$57.04	$112.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $148.07 / $264.41	Facility		$96.60	$148.07	$264.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $165.94 / $386.54	Professional		$67.59	$165.94	$386.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $71.68 / $71.68	Facility		$58.49	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $52.33 / $73.83	Professional		$52.33	$52.33	$73.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $69.62 / $137.58	Professional		$58.02	$69.62	$137.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $87.55 / $193.86	Professional		$75.04	$87.55	$193.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.41 / $594.08 / $594.08	Facility		$245.41	$594.08	$594.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.34 / $600.34 / $703.50	Professional		$600.34	$600.34	$703.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $247.88 / $247.88	Professional		$247.88	$247.88	$247.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $108.63 / $125.07	Facility		$30.21	$108.63	$125.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $109.90	Professional		$52.33	$71.68	$109.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.05 / $236.05 / $236.05	Professional		$236.05	$236.05	$236.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $98.63 / $100.06	Professional		$58.02	$98.63	$100.06
United Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $125.07 / $125.07	Facility		$106.31	$125.07	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $46.79 / $121.72	Professional		$43.27	$46.79	$121.72