Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $60.88 / $389.99	Facility		$60.88	$60.88	$389.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $60.88 / $389.99	Professional		$47.59	$60.88	$389.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $190.48 / $429.07	Facility		$46.78	$190.48	$429.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.47 / $125.71	Professional		$62.37	$62.47	$125.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $160.02 / $285.75	Facility		$96.60	$160.02	$285.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $179.35 / $417.78	Professional		$73.05	$179.35	$417.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $87.42 / $87.42	Facility		$63.22	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $63.82 / $90.04	Professional		$63.82	$63.82	$90.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $64.50 / $148.69	Professional		$53.75	$64.50	$148.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $94.62 / $209.51	Professional		$81.09	$94.62	$209.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $642.05 / $642.05	Facility		$274.39	$642.05	$642.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.82 / $648.82 / $760.35	Professional		$648.82	$648.82	$760.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $235.34 / $235.34	Professional		$235.34	$235.34	$235.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $114.80 / $135.16	Facility		$32.65	$114.80	$135.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $87.42 / $110.96	Professional		$63.82	$87.42	$110.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $255.12 / $255.12	Professional		$255.12	$255.12	$255.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $91.38 / $108.14	Professional		$53.75	$91.38	$108.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $50.65 / $136.37	Professional		$46.76	$50.65	$136.37