Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $59.09 / $283.88	Facility		$59.09	$59.09	$283.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $59.09 / $283.88	Professional		$50.87	$59.09	$283.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $150.82 / $312.29	Facility		$44.87	$150.82	$312.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $59.92 / $97.16	Professional		$50.14	$59.92	$97.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $116.49 / $208.01	Facility		$93.04	$116.49	$208.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $130.53 / $304.08	Professional		$53.18	$130.53	$304.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.99 / $61.48 / $61.48	Facility		$45.99	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $63.32	Professional		$44.88	$44.88	$63.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $53.09 / $108.22	Professional		$44.24	$53.09	$108.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $68.87 / $152.49	Professional		$59.03	$68.87	$152.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.77 / $503.80 / $503.80	Facility		$196.77	$503.80	$503.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.26 / $558.26 / $794.48	Professional		$558.26	$558.26	$794.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.19 / $231.19 / $231.19	Professional		$231.19	$231.19	$231.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $86.15 / $103.30	Facility		$31.69	$86.15	$103.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $93.64	Professional		$44.88	$61.48	$93.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $185.70 / $185.70	Professional		$185.70	$185.70	$185.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $75.20 / $78.70	Professional		$44.24	$75.20	$78.70
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $49.09 / $98.38	Professional		$44.57	$49.09	$98.38