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 $51.96 / $64.95 / $106.56	Professional		$51.96	$64.95	$106.56
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 / $64.14 / $112.59	Professional		$59.06	$64.14	$112.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $139.86 / $249.75	Facility		$96.60	$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 $67.56 / $67.56 / $93.86	Facility		$67.56	$67.56	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $72.04	Professional		$49.33	$49.33	$72.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $74.77 / $129.97	Professional		$62.31	$74.77	$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 / $104.44 / $121.69	Facility		$34.83	$104.44	$121.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $112.46	Professional		$49.33	$67.56	$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 $62.31 / $94.52 / $94.52	Professional		$62.31	$94.52	$94.52
United Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $58.45 / $161.47	Professional		$51.34	$58.45	$161.47