Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $271.70	Facility		$56.56	$56.56	$271.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $56.56 / $271.70	Professional		$46.60	$56.56	$271.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.95 / $144.35 / $298.89	Facility		$42.95	$144.35	$298.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $57.19 / $87.57	Professional		$45.94	$57.19	$87.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $111.48 / $199.07	Facility		$92.60	$111.48	$199.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $124.93 / $291.02	Professional		$50.90	$124.93	$291.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.01 / $58.84 / $58.84	Facility		$44.01	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $62.73	Professional		$42.95	$42.95	$62.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $38.02 / $103.58	Professional		$31.68	$38.02	$103.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $65.91 / $145.94	Professional		$56.50	$65.91	$145.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $476.85 / $476.85	Facility		$188.33	$476.85	$476.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $612.91 / $831.23	Professional		$612.91	$612.91	$831.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.82 / $371.82 / $371.82	Professional		$371.82	$371.82	$371.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $83.25 / $104.00	Facility		$30.33	$83.25	$104.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $96.87	Professional		$42.95	$58.84	$96.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $177.74 / $177.74	Professional		$177.74	$177.74	$177.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $53.86 / $75.33	Professional		$31.68	$53.86	$75.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.98 / $94.16	Professional		$42.66	$46.98	$94.16