Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $302.13	Facility		$57.56	$57.56	$302.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $57.56 / $302.13	Professional		$45.75	$57.56	$302.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $158.86 / $332.38	Facility		$43.71	$158.86	$332.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $57.20 / $99.75	Professional		$52.33	$57.20	$99.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.97 / $221.38	Facility		$95.50	$123.97	$221.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $138.94 / $323.63	Professional		$56.60	$138.94	$323.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $83.18	Facility		$59.89	$59.89	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $61.69	Professional		$43.72	$43.72	$61.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $67.16 / $115.18	Professional		$55.97	$67.16	$115.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $73.30 / $162.30	Professional		$62.83	$73.30	$162.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $499.54 / $499.54	Facility		$180.20	$499.54	$499.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.03 / $540.03 / $785.33	Professional		$540.03	$540.03	$785.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $221.13 / $221.13	Professional		$221.13	$221.13	$221.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $92.58 / $107.87	Facility		$30.87	$92.58	$107.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $59.89 / $99.67	Professional		$43.72	$59.89	$99.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $197.64 / $197.64	Professional		$197.64	$197.64	$197.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $83.77 / $83.96	Professional		$55.97	$83.77	$83.96
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $47.81 / $103.05	Professional		$43.54	$47.81	$103.05