Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $58.37 / $373.89	Facility		$58.37	$58.37	$373.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $58.37 / $373.89	Professional		$45.10	$58.37	$373.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $182.62 / $411.36	Facility		$44.33	$182.62	$411.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $58.90 / $97.91	Professional		$52.73	$58.90	$97.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $153.41 / $273.95	Facility		$96.60	$153.41	$273.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $171.94 / $400.49	Professional		$70.04	$171.94	$400.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $73.27 / $73.27	Facility		$60.61	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $75.47	Professional		$53.49	$53.49	$75.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $77.28 / $142.55	Professional		$64.40	$77.28	$142.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $90.71 / $200.86	Professional		$77.75	$90.71	$200.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $615.54 / $615.54	Facility		$212.93	$615.54	$615.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $689.36 / $783.00	Professional		$673.20	$689.36	$783.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.23 / $199.23 / $199.23	Professional		$199.23	$199.23	$199.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $105.28 / $130.12	Facility		$31.30	$105.28	$130.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $98.74	Professional		$53.49	$73.27	$98.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $244.59 / $244.59	Professional		$244.59	$244.59	$244.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $103.67 / $103.67	Professional		$64.40	$103.67	$103.67
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $48.49 / $123.12	Professional		$44.02	$48.49	$123.12