Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $62.02 / $397.25	Facility		$62.02	$62.02	$397.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $62.02 / $397.25	Professional		$49.32	$62.02	$397.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $194.03 / $437.07	Facility		$47.10	$194.03	$437.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $62.90 / $112.75	Professional		$59.15	$62.90	$112.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $163.01 / $291.08	Facility		$95.50	$163.01	$291.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $182.68 / $425.53	Professional		$74.41	$182.68	$425.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $75.47 / $75.47	Facility		$64.40	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $80.45	Professional		$55.09	$55.09	$80.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $68.56 / $151.46	Professional		$57.13	$68.56	$151.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $96.38 / $213.42	Professional		$82.61	$96.38	$213.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.85 / $654.03 / $654.03	Facility		$213.85	$654.03	$654.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $692.33 / $849.98	Professional		$676.08	$692.33	$849.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $236.75 / $236.75	Professional		$236.75	$236.75	$236.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $115.49 / $137.69	Facility		$33.26	$115.49	$137.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $109.35	Professional		$55.09	$75.47	$109.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.86 / $259.86 / $259.86	Professional		$259.86	$259.86	$259.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $97.12 / $110.15	Professional		$57.13	$97.12	$110.15
United Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $51.52 / $130.66	Professional		$46.78	$51.52	$130.66