Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $340.89	Facility		$64.95	$64.95	$340.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $64.95 / $340.89	Professional		$51.62	$64.95	$340.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $179.29 / $375.04	Facility		$49.33	$179.29	$375.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $64.81 / $112.59	Professional		$59.06	$64.81	$112.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $139.86 / $249.75	Facility		$97.00	$139.86	$249.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $156.77 / $365.17	Professional		$63.86	$156.77	$365.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $93.86	Facility		$81.30	$81.30	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $86.67	Professional		$59.35	$59.35	$86.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $75.78 / $129.97	Professional		$63.15	$75.78	$129.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $82.71 / $183.13	Professional		$70.89	$82.71	$183.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $563.71 / $563.71	Facility		$203.38	$563.71	$563.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $609.50 / $609.50 / $886.13	Professional		$609.50	$609.50	$886.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.46 / $249.46 / $249.46	Professional		$249.46	$249.46	$249.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $111.65 / $124.06	Facility		$34.83	$111.65	$124.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.30 / $112.46	Professional		$59.35	$81.30	$112.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $223.00 / $223.00	Professional		$223.00	$223.00	$223.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $94.52 / $94.73	Professional		$63.15	$94.52	$94.73
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.90 / $124.56	Professional		$48.98	$54.90	$124.56