Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $52.85 / $338.50	Facility		$52.85	$52.85	$338.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $52.85 / $338.50	Professional		$43.55	$52.85	$338.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $165.33 / $372.41	Facility		$40.13	$165.33	$372.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $53.40 / $91.52	Professional		$48.00	$53.40	$91.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.88 / $248.02	Facility		$96.60	$138.88	$248.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $155.66 / $362.61	Professional		$63.41	$155.66	$362.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $65.90 / $65.90	Facility		$54.84	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $70.26	Professional		$48.11	$48.11	$70.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $70.98 / $129.05	Professional		$59.15	$70.98	$129.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $82.12 / $181.85	Professional		$70.39	$82.12	$181.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.77 / $473.76 / $557.27	Facility		$199.77	$473.76	$557.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $700.07 / $716.85 / $716.85	Professional		$700.07	$716.85	$716.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $200.77 / $200.77	Professional		$200.77	$200.77	$200.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $97.94 / $118.91	Facility		$28.34	$97.94	$118.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $85.93	Professional		$48.11	$65.90	$85.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $221.43 / $221.43	Professional		$221.43	$221.43	$221.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $93.86 / $93.86	Professional		$59.15	$93.86	$93.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $43.90 / $117.32	Professional		$40.59	$43.90	$117.32