Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.52 / $78.52 / $412.10	Facility		$78.52	$78.52	$412.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $78.52 / $412.10	Professional		$62.40	$78.52	$412.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $216.73 / $453.39	Facility		$59.63	$216.73	$453.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $79.13 / $136.12	Professional		$71.41	$79.13	$136.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $169.08 / $301.92	Facility		$96.60	$169.08	$301.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $189.51 / $441.44	Professional		$77.19	$189.51	$441.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $81.70 / $97.73	Facility		$66.80	$81.70	$97.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $87.10	Professional		$59.64	$59.64	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $88.09 / $157.11	Professional		$73.41	$88.09	$157.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $99.98 / $221.39	Professional		$85.70	$99.98	$221.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.90 / $681.55 / $681.55	Facility		$245.90	$681.55	$681.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $737.14 / $1,071.23	Professional		$737.14	$737.14	$1,071.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.81 / $441.81 / $441.81	Professional		$441.81	$441.81	$441.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $124.06 / $147.13	Facility		$42.11	$124.06	$147.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $135.94	Professional		$59.64	$81.70	$135.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $269.58	Professional		$269.58	$269.58	$269.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $114.26 / $114.26	Professional		$73.41	$114.26	$114.26
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $65.23 / $138.19	Professional		$59.22	$65.23	$138.19