Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $326.32	Facility		$62.14	$62.14	$326.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $62.14 / $315.75	Professional		$49.72	$62.14	$315.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $171.51 / $359.05	Facility		$47.19	$171.51	$359.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $62.92 / $107.68	Professional		$56.49	$62.92	$107.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $133.87 / $239.06	Facility		$95.50	$133.87	$239.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $150.08 / $349.56	Professional		$61.13	$150.08	$349.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $89.84	Facility		$64.66	$64.66	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $92.55	Professional		$47.20	$47.20	$92.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $72.52 / $124.42	Professional		$60.43	$72.52	$124.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $79.18 / $175.32	Professional		$67.87	$79.18	$175.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $539.41 / $539.41	Facility		$194.53	$539.41	$539.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.01 / $583.01 / $848.33	Professional		$583.01	$583.01	$848.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $238.66 / $238.66	Professional		$238.66	$238.66	$238.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $99.97 / $116.42	Facility		$33.32	$99.97	$116.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $102.90	Professional		$47.20	$64.66	$102.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.47 / $213.47 / $213.47	Professional		$213.47	$213.47	$213.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $90.49 / $90.65	Professional		$60.43	$90.49	$90.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $52.53 / $113.11	Professional		$46.87	$52.53	$113.11