Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $289.22	Facility		$55.10	$55.10	$289.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $55.10 / $289.22	Professional		$43.80	$55.10	$289.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $152.07 / $318.22	Facility		$41.84	$152.07	$318.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $55.89 / $95.50	Professional		$50.10	$55.89	$95.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $118.66 / $211.89	Facility		$94.77	$118.66	$211.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $133.02 / $309.83	Professional		$54.18	$133.02	$309.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $79.63	Facility		$69.65	$69.65	$79.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $71.73	Professional		$50.84	$50.84	$71.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $64.28 / $110.28	Professional		$53.57	$64.28	$110.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $70.18 / $152.38	Professional		$50.13	$70.18	$152.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $478.20 / $478.20	Facility		$172.52	$478.20	$478.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $516.82 / $516.82 / $751.88	Professional		$516.82	$516.82	$751.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $211.53 / $211.53	Professional		$211.53	$211.53	$211.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $87.78 / $103.19	Facility		$29.54	$87.78	$103.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.65 / $95.42	Professional		$50.84	$69.65	$95.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $189.20 / $189.20	Professional		$189.20	$189.20	$189.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $80.20 / $80.36	Professional		$53.57	$80.20	$80.36
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $45.77 / $102.20	Professional		$41.55	$45.77	$102.20