Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $62.02 / $347.45	Facility		$62.02	$62.02	$347.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $62.02 / $347.45	Professional		$51.11	$62.02	$347.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $173.81 / $382.25	Facility		$47.09	$173.81	$382.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $61.86 / $128.04	Professional		$60.47	$61.86	$128.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $142.57 / $254.60	Facility		$97.00	$142.57	$254.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $159.78 / $372.18	Professional		$65.08	$159.78	$372.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.28 / $64.52 / $64.52	Facility		$56.28	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $68.78	Professional		$47.10	$47.10	$68.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $53.56 / $132.46	Professional		$44.63	$53.56	$132.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $84.29 / $186.65	Professional		$72.25	$84.29	$186.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $572.00 / $572.00	Facility		$279.49	$572.00	$572.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $639.69 / $774.45	Professional		$639.69	$639.69	$774.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $264.92 / $264.92	Professional		$264.92	$264.92	$264.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $104.60 / $126.44	Facility		$33.26	$104.60	$126.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $115.55	Professional		$47.10	$64.52	$115.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Professional		$227.29	$227.29	$227.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $75.87 / $96.34	Professional		$44.63	$75.87	$96.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.52 / $111.23	Professional		$46.77	$51.52	$111.23