Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $291.33	Facility		$45.48	$45.48	$291.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.48 / $181.92	Professional		$37.47	$45.48	$181.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $142.29 / $320.51	Facility		$34.54	$142.29	$320.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $45.63 / $72.26	Professional		$36.95	$45.63	$72.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $119.53 / $213.46	Facility		$95.47	$119.53	$213.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $133.97 / $312.05	Professional		$54.57	$133.97	$312.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $48.98 / $53.98	Facility		$47.19	$48.98	$53.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $52.22	Professional		$35.76	$35.76	$52.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $36.96 / $111.07	Professional		$30.80	$36.96	$111.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $70.68 / $156.50	Professional		$60.58	$70.68	$156.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.24 / $479.61 / $479.61	Facility		$173.24	$479.61	$479.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $662.00 / $677.88 / $677.88	Professional		$662.00	$677.88	$677.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.40 / $227.40 / $227.40	Professional		$227.40	$227.40	$227.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $80.95 / $102.44	Facility		$24.39	$80.95	$102.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.98 / $77.52	Professional		$35.76	$48.98	$77.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $190.58 / $190.58	Professional		$190.58	$190.58	$190.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $52.36 / $80.78	Professional		$30.80	$52.36	$80.78
United Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $37.78 / $95.83	Professional		$34.31	$37.78	$95.83