Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $81.20 / $434.62	Facility		$81.20	$81.20	$434.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $81.20 / $434.62	Professional		$60.41	$81.20	$434.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $224.14 / $478.18	Facility		$61.67	$224.14	$478.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $82.80 / $155.06	Professional		$81.33	$82.80	$155.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $178.33 / $318.45	Facility		$95.50	$178.33	$318.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $199.87 / $465.55	Professional		$81.41	$199.87	$465.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $112.36 / $112.36	Facility		$70.40	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $115.73	Professional		$82.02	$82.02	$115.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $57.82 / $165.70	Professional		$48.18	$57.82	$165.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $105.45 / $233.49	Professional		$90.38	$105.45	$233.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.46 / $715.54 / $715.54	Facility		$338.46	$715.54	$715.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $892.29 / $892.29 / $1,041.23	Professional		$892.29	$892.29	$1,041.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.88 / $333.88 / $333.88	Professional		$333.88	$333.88	$333.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $133.16 / $158.16	Facility		$43.54	$133.16	$158.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $157.84	Professional		$82.02	$112.36	$157.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $284.31 / $284.31 / $284.31	Professional		$284.31	$284.31	$284.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $81.91 / $120.51	Professional		$48.18	$81.91	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $67.45 / $143.11	Professional		$61.24	$67.45	$143.11