Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $64.70 / $414.49	Facility		$64.70	$64.70	$414.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $64.70 / $414.49	Professional		$48.95	$64.70	$414.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $202.43 / $455.99	Facility		$49.14	$202.43	$455.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $64.34 / $121.36	Professional		$63.66	$64.34	$121.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $170.08 / $303.70	Facility		$95.50	$170.08	$303.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $190.60 / $444.00	Professional		$77.64	$190.60	$444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $75.80 / $76.79	Facility		$67.19	$75.80	$76.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $80.80	Professional		$55.33	$55.33	$80.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $69.34 / $158.02	Professional		$57.78	$69.34	$158.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $100.56 / $222.66	Professional		$86.19	$100.56	$222.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $682.34 / $682.34	Facility		$264.89	$682.34	$682.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $705.15 / $808.05	Professional		$689.52	$705.15	$808.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $240.56	Professional		$240.56	$240.56	$240.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $119.99 / $143.65	Facility		$34.70	$119.99	$143.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $122.10	Professional		$55.33	$75.80	$122.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $271.14 / $271.14 / $271.14	Professional		$271.14	$271.14	$271.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $98.23 / $114.92	Professional		$57.78	$98.23	$114.92
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $54.69 / $136.47	Professional		$49.70	$54.69	$136.47