Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $57.38 / $367.54	Facility		$57.38	$57.38	$367.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $57.38 / $367.54	Professional		$47.28	$57.38	$367.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $179.50 / $404.34	Facility		$43.57	$179.50	$404.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $57.20 / $88.85	Professional		$46.61	$57.20	$88.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $150.81 / $269.31	Facility		$96.60	$150.81	$269.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $169.01 / $393.70	Professional		$68.84	$169.01	$393.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $61.81 / $68.09	Facility		$59.58	$61.81	$68.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $65.89	Professional		$45.12	$45.12	$65.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $68.75 / $140.12	Professional		$57.29	$68.75	$140.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $89.17 / $197.44	Professional		$76.43	$89.17	$197.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.95 / $510.12 / $605.05	Facility		$193.95	$510.12	$605.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.70 / $693.95 / $944.55	Professional		$677.70	$693.95	$944.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $216.72 / $216.72	Professional		$216.72	$216.72	$216.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $110.64 / $131.02	Facility		$30.77	$110.64	$131.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $121.24	Professional		$45.12	$61.81	$121.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $240.43 / $240.43	Professional		$240.43	$240.43	$240.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $97.39 / $101.90	Professional		$57.29	$97.39	$101.90
United Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $53.70 / $178.64	Professional		$45.35	$53.70	$178.64