Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $60.02 / $314.97	Facility		$60.02	$60.02	$314.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $60.02 / $314.97	Professional		$47.70	$60.02	$314.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $165.66 / $346.54	Facility		$45.58	$165.66	$346.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $59.20 / $104.02	Professional		$54.56	$59.20	$104.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $129.25 / $230.81	Facility		$95.50	$129.25	$230.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $144.85 / $337.39	Professional		$59.00	$144.85	$337.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $86.73	Facility		$66.72	$66.72	$86.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $71.12	Professional		$48.71	$48.71	$71.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.35 / $120.09	Professional		$22.79	$27.35	$120.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.42 / $165.94	Professional		$40.00	$76.42	$165.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $520.92 / $520.92	Facility		$187.91	$520.92	$520.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $563.39 / $563.39 / $818.78	Professional		$563.39	$563.39	$818.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.60 / $230.60 / $230.60	Professional		$230.60	$230.60	$230.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $97.98 / $114.63	Facility		$32.18	$97.98	$114.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $103.91	Professional		$48.71	$66.72	$103.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $206.04 / $206.04	Professional		$206.04	$206.04	$206.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $38.74 / $87.34	Professional		$22.79	$38.74	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $49.94 / $109.17	Professional		$46.10	$49.94	$109.17