Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $76.45 / $489.69	Facility		$76.45	$76.45	$489.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $76.45 / $489.69	Professional		$59.58	$76.45	$489.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $239.18 / $538.77	Facility		$58.06	$239.18	$538.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $76.45 / $137.87	Professional		$72.31	$76.45	$137.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $200.94 / $358.82	Facility		$96.60	$200.94	$358.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $225.20 / $524.57	Professional		$91.73	$225.20	$524.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.33 / $104.21 / $104.21	Facility		$79.33	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $171.75	Professional		$76.06	$76.06	$171.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $84.22 / $186.70	Professional		$70.18	$84.22	$186.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $118.81 / $263.08	Professional		$101.84	$118.81	$263.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $806.22 / $806.22	Facility		$262.70	$806.22	$806.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $840.16 / $850.46 / $954.68	Professional		$840.16	$850.46	$954.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $347.94 / $347.94	Professional		$347.94	$347.94	$347.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $144.27 / $169.73	Facility		$41.00	$144.27	$169.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $144.27	Professional		$76.06	$76.06	$144.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $320.33 / $320.33	Professional		$320.33	$320.33	$320.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $119.31 / $135.78	Professional		$70.18	$119.31	$135.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $63.61 / $171.24	Professional		$57.66	$63.61	$171.24