Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $52.42 / $335.79	Facility		$52.42	$52.42	$335.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $52.42 / $335.79	Professional		$41.15	$52.42	$335.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $164.02 / $369.46	Facility		$39.81	$164.02	$369.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $52.51 / $92.87	Professional		$48.73	$52.51	$92.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $137.78 / $246.04	Facility		$96.60	$137.78	$246.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $154.43 / $359.72	Professional		$62.90	$154.43	$359.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $64.62 / $64.62	Facility		$54.43	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $47.17 / $68.89	Professional		$47.17	$47.17	$68.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $67.93 / $128.03	Professional		$56.61	$67.93	$128.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $81.47 / $180.40	Professional		$69.83	$81.47	$180.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.72 / $463.13 / $552.85	Facility		$202.72	$463.13	$552.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $669.96 / $686.03 / $686.03	Professional		$669.96	$686.03	$686.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $266.23 / $266.23	Professional		$266.23	$266.23	$266.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $95.09 / $118.07	Facility		$28.11	$95.09	$118.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $85.24	Professional		$47.17	$64.62	$85.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $219.66 / $219.66	Professional		$219.66	$219.66	$219.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $93.11 / $93.11	Professional		$56.61	$93.11	$93.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $43.55 / $105.75	Professional		$39.54	$43.55	$105.75