Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $362.48	Facility		$56.58	$56.58	$362.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $56.58 / $362.48	Professional		$43.73	$56.58	$362.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $177.05 / $398.82	Facility		$42.97	$177.05	$398.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $57.29 / $106.69	Professional		$55.95	$57.29	$106.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $148.72 / $265.57	Facility		$96.60	$148.72	$265.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $166.69 / $388.28	Professional		$67.90	$166.69	$388.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $81.37 / $81.37	Facility		$58.71	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $86.75	Professional		$59.40	$59.40	$86.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $61.02 / $138.19	Professional		$50.85	$61.02	$138.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $87.95 / $194.74	Professional		$75.38	$87.95	$194.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.88 / $494.49 / $596.79	Facility		$232.88	$494.49	$596.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $884.34 / $905.58 / $905.58	Professional		$884.34	$905.58	$905.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $193.17 / $193.17	Professional		$193.17	$193.17	$193.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $100.72 / $127.44	Facility		$30.34	$100.72	$127.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $79.08 / $92.88	Professional		$59.40	$79.08	$92.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $237.12 / $237.12	Professional		$237.12	$237.12	$237.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $86.45 / $100.51	Professional		$50.85	$86.45	$100.51
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $47.01 / $116.04	Professional		$42.68	$47.01	$116.04