Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $337.70	Facility		$63.26	$63.26	$337.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $63.26 / $337.70	Professional		$51.13	$63.26	$337.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $174.60 / $371.52	Facility		$48.04	$174.60	$371.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $63.03 / $108.85	Professional		$57.00	$63.03	$108.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.55 / $247.42	Facility		$96.60	$138.55	$247.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $155.29 / $361.72	Professional		$63.26	$155.29	$361.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $92.97	Facility		$75.70	$75.70	$92.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $135.75	Professional		$55.27	$55.27	$135.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $75.06 / $128.74	Professional		$62.56	$75.06	$128.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $81.93 / $181.41	Professional		$70.22	$81.93	$181.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.63 / $555.94 / $555.94	Facility		$196.63	$555.94	$555.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $582.86 / $582.86 / $877.80	Professional		$582.86	$582.86	$877.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.93 / $239.93 / $239.93	Professional		$239.93	$239.93	$239.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $114.34 / $118.73	Facility		$33.92	$114.34	$118.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $111.40	Professional		$55.27	$55.27	$111.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $220.91 / $220.91	Professional		$220.91	$220.91	$220.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $93.63 / $93.84	Professional		$62.56	$93.63	$93.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $57.87 / $157.30	Professional		$50.00	$57.87	$157.30