Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.44 / $68.44 / $375.66	Facility		$68.44	$68.44	$375.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $68.44 / $375.66	Professional		$52.88	$68.44	$375.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $188.92 / $413.29	Facility		$51.98	$188.92	$413.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $69.41 / $111.32	Professional		$58.00	$69.41	$111.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $154.13 / $275.25	Facility		$96.60	$154.13	$275.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $172.76 / $402.42	Professional		$70.37	$172.76	$402.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $84.33 / $84.33	Facility		$60.89	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $86.86	Professional		$61.56	$61.56	$86.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $56.30 / $143.22	Professional		$46.92	$56.30	$143.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $91.14 / $201.81	Professional		$78.12	$91.14	$201.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.99 / $618.45 / $618.45	Facility		$242.99	$618.45	$618.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $667.95 / $873.45	Professional		$667.95	$667.95	$873.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $233.59 / $233.59	Professional		$233.59	$233.59	$233.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $113.09 / $131.94	Facility		$36.70	$113.09	$131.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.33 / $123.93	Professional		$61.56	$84.33	$123.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $245.75 / $245.75	Professional		$245.75	$245.75	$245.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $79.76 / $104.16	Professional		$46.92	$79.76	$104.16
United Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $56.85 / $120.79	Professional		$52.56	$56.85	$120.79