Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $64.79 / $326.32	Facility		$64.79	$64.79	$326.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $64.79 / $326.32	Professional		$49.72	$64.79	$326.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $180.67 / $400.79	Facility		$74.51	$180.67	$400.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $66.38 / $107.68	Professional		$54.38	$66.38	$107.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.35 / $247.06	Facility		$96.60	$138.35	$247.06
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 $70.70 / $70.70 / $89.84	Facility		$70.70	$70.70	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $75.39	Professional		$51.62	$51.62	$75.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $84.96 / $124.42	Professional		$70.80	$84.96	$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 $100.00 / $539.41 / $539.41	Facility		$100.00	$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 $70.70 / $101.80 / $118.77	Facility		$70.70	$101.80	$118.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $107.66	Professional		$51.62	$70.70	$107.66
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 $70.80 / $90.49 / $101.80	Professional		$70.80	$90.49	$101.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $52.53 / $113.11	Professional		$48.59	$52.53	$113.11