Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $51.76 / $331.52	Facility		$51.76	$51.76	$331.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $51.76 / $144.03	Professional		$47.06	$51.76	$144.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $161.93 / $364.76	Facility		$39.31	$161.93	$364.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $52.41 / $93.15	Professional		$50.18	$52.41	$93.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.28 / $136.03 / $242.91	Facility		$96.28	$136.03	$242.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $152.46 / $355.12	Professional		$62.10	$152.46	$355.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $101.27	Facility		$53.85	$53.85	$101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $86.19	Professional		$39.31	$39.31	$86.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $78.95 / $126.40	Professional		$65.79	$78.95	$126.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $80.44 / $178.11	Professional		$68.95	$80.44	$178.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.27 / $545.82 / $545.82	Facility		$168.27	$545.82	$545.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $551.57 / $646.35	Professional		$551.57	$551.57	$646.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $207.87 / $207.87	Professional		$207.87	$207.87	$207.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $101.40 / $116.45	Facility		$27.76	$101.40	$116.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $68.08 / $99.38	Professional		$39.31	$68.08	$99.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $216.87 / $216.87 / $216.87	Professional		$216.87	$216.87	$216.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $91.93 / $98.69	Professional		$65.79	$91.93	$98.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $43.00 / $102.39	Professional		$39.75	$43.00	$102.39