Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $53.96 / $331.52	Facility		$53.96	$53.96	$331.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $53.96 / $187.03	Professional		$47.06	$53.96	$187.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $183.55 / $364.76	Facility		$62.05	$183.55	$364.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $50.59 / $93.15	Professional		$47.03	$50.59	$93.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $140.57 / $251.02	Facility		$96.60	$140.57	$251.02
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 / $57.40	Professional		$39.31	$39.31	$57.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $86.33 / $126.40	Professional		$71.94	$86.33	$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 $146.31 / $456.49 / $545.82	Facility		$146.31	$456.49	$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 $53.96 / $100.16 / $120.66	Facility		$53.96	$100.16	$120.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $99.38	Professional		$39.31	$53.85	$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 $71.94 / $91.93 / $103.42	Professional		$71.94	$91.93	$103.42
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $43.75 / $104.41	Professional		$40.47	$43.75	$104.41