Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $79.23 / $507.56	Facility		$79.23	$79.23	$507.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $79.23 / $116.18	Professional		$68.00	$79.23	$116.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $247.91 / $558.41	Facility		$60.17	$247.91	$558.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $79.04 / $148.55	Professional		$77.92	$79.04	$148.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $208.27 / $371.91	Facility		$96.60	$208.27	$371.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $233.41 / $543.67	Professional		$95.08	$233.41	$543.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $103.32 / $103.32	Facility		$82.22	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $110.15	Professional		$75.42	$75.42	$110.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $112.82 / $193.51	Professional		$94.02	$112.82	$193.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $123.14 / $272.68	Professional		$105.55	$123.14	$272.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.18 / $835.62 / $835.62	Facility		$281.18	$835.62	$835.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $910.13 / $989.55	Professional		$888.80	$910.13	$989.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.63 / $360.63 / $360.63	Professional		$360.63	$360.63	$360.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $149.53 / $175.92	Facility		$42.49	$149.53	$175.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $135.40	Professional		$75.42	$103.32	$135.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.03 / $332.03 / $332.03	Professional		$332.03	$332.03	$332.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $140.74 / $141.03	Professional		$94.02	$140.74	$141.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $65.81 / $177.48	Professional		$60.86	$65.81	$177.48