Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $70.58 / $452.07	Facility		$70.58	$70.58	$452.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $70.58 / $452.07	Professional		$59.50	$70.58	$452.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $220.79 / $497.35	Facility		$53.60	$220.79	$497.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $68.81 / $113.79	Professional		$59.00	$68.81	$113.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $185.49 / $331.24	Facility		$95.50	$185.49	$331.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $207.89 / $484.21	Professional		$84.68	$207.89	$484.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $73.43 / $83.75	Facility		$73.28	$73.43	$83.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $78.27	Professional		$53.60	$53.60	$78.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $69.62 / $172.35	Professional		$58.02	$69.62	$172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $109.68 / $242.85	Professional		$94.01	$109.68	$242.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $744.23 / $744.23	Facility		$248.39	$744.23	$744.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $775.57 / $775.57 / $1,094.78	Professional		$775.57	$775.57	$1,094.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.94 / $270.94 / $270.94	Professional		$270.94	$270.94	$270.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $132.68 / $156.68	Facility		$37.85	$132.68	$156.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.42 / $149.13	Professional		$53.60	$73.42	$149.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $295.73 / $295.73 / $295.73	Professional		$295.73	$295.73	$295.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $98.63 / $125.34	Professional		$58.02	$98.63	$125.34
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $58.72 / $151.61	Professional		$53.23	$58.72	$151.61