Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $462.31	Facility		$72.18	$72.18	$462.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $72.18 / $462.31	Professional		$55.77	$72.18	$462.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $225.80 / $508.62	Facility		$54.81	$225.80	$508.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $72.28 / $112.84	Professional		$59.20	$72.28	$112.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $189.68 / $338.72	Facility		$96.33	$189.68	$338.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $212.60 / $495.19	Professional		$86.60	$212.60	$495.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $75.09 / $85.65	Facility		$74.89	$75.09	$85.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $80.05	Professional		$54.82	$54.82	$80.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $88.03 / $176.25	Professional		$73.36	$88.03	$176.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $112.16 / $248.36	Professional		$96.14	$112.16	$248.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.30 / $634.55 / $761.09	Facility		$246.30	$634.55	$761.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $868.91 / $889.74 / $901.28	Professional		$868.91	$889.74	$901.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Professional		$360.86	$360.86	$360.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $128.47 / $162.38	Facility		$38.70	$128.47	$162.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $75.09 / $132.68	Professional		$54.82	$75.09	$132.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $302.43 / $302.43	Professional		$302.43	$302.43	$302.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $124.71 / $128.18	Professional		$73.36	$124.71	$128.18
United Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $59.95 / $148.01	Professional		$55.43	$59.95	$148.01