Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $50.46 / $323.20	Facility		$50.46	$50.46	$323.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $50.46 / $323.20	Professional		$41.07	$50.46	$323.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $157.86 / $355.59	Facility		$38.32	$157.86	$355.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $50.99 / $86.07	Professional		$46.37	$50.99	$86.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $132.62 / $236.83	Facility		$95.50	$132.62	$236.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $148.63 / $346.22	Professional		$60.54	$148.63	$346.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $59.87 / $59.88	Facility		$52.40	$59.87	$59.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $63.83	Professional		$43.71	$43.71	$63.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $54.17 / $123.22	Professional		$45.14	$54.17	$123.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $78.41 / $173.63	Professional		$67.20	$78.41	$173.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $445.11 / $532.10	Facility		$168.96	$445.11	$532.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $554.50 / $707.93	Professional		$554.50	$554.50	$707.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $229.64 / $229.64	Professional		$229.64	$229.64	$229.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $97.18 / $112.02	Facility		$27.06	$97.18	$112.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $83.25	Professional		$43.71	$59.87	$83.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $211.42 / $211.42	Professional		$211.42	$211.42	$211.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $76.73 / $89.62	Professional		$45.14	$76.73	$89.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $49.22 / $112.02	Professional		$39.89	$49.22	$112.02