Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $49.33 / $258.97	Facility		$49.33	$49.33	$258.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $49.33 / $258.97	Professional		$39.22	$49.33	$258.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $136.15 / $284.89	Facility		$37.46	$136.15	$284.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $48.09 / $85.49	Professional		$44.84	$48.09	$85.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $106.26 / $189.75	Facility		$92.60	$106.26	$189.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $119.09 / $277.39	Professional		$48.51	$119.09	$277.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $71.30	Facility		$51.32	$51.32	$71.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $54.71	Professional		$37.46	$37.46	$54.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $40.90 / $98.73	Professional		$34.09	$40.90	$98.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $62.83 / $139.11	Professional		$53.85	$62.83	$139.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $428.17 / $428.17	Facility		$154.44	$428.17	$428.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.74 / $462.74 / $673.13	Professional		$462.74	$462.74	$673.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $189.52 / $189.52	Professional		$189.52	$189.52	$189.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $79.34 / $92.45	Facility		$26.46	$79.34	$92.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $85.43	Professional		$37.46	$51.32	$85.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $169.41 / $169.41	Professional		$169.41	$169.41	$169.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $57.95 / $71.80	Professional		$34.09	$57.95	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $44.40 / $122.66	Professional		$38.99	$44.40	$122.66