Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $358.21	Facility		$68.23	$68.23	$358.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $68.23 / $358.21	Professional		$54.24	$68.23	$358.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $188.34 / $394.12	Facility		$51.82	$188.34	$394.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $66.53 / $118.25	Professional		$62.00	$66.53	$118.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $146.97 / $262.45	Facility		$96.60	$146.97	$262.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $164.74 / $383.72	Professional		$67.09	$164.74	$383.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $98.62	Facility		$70.98	$70.98	$98.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $73.12	Professional		$51.82	$51.82	$73.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $75.37 / $136.58	Professional		$62.81	$75.37	$136.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $86.91 / $188.72	Professional		$62.08	$86.91	$188.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $592.25 / $592.25	Facility		$213.61	$592.25	$592.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.13 / $640.13 / $931.20	Professional		$640.13	$640.13	$931.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.07 / $262.07 / $262.07	Professional		$262.07	$262.07	$262.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $108.72 / $127.84	Facility		$36.59	$108.72	$127.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $118.18	Professional		$51.82	$70.98	$118.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $234.33 / $234.33	Professional		$234.33	$234.33	$234.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $99.33 / $99.33	Professional		$62.81	$99.33	$99.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $56.68 / $119.71	Professional		$51.46	$56.68	$119.71