Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $282.04	Facility		$44.03	$44.03	$282.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $44.03 / $282.04	Professional		$35.11	$44.03	$282.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $137.76 / $310.32	Facility		$33.44	$137.76	$310.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $44.58 / $68.63	Professional		$35.99	$44.58	$68.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $115.73 / $206.66	Facility		$95.50	$115.73	$206.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $129.71 / $302.11	Professional		$52.83	$129.71	$302.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $45.81 / $52.25	Facility		$45.72	$45.81	$52.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $48.83	Professional		$33.44	$33.44	$48.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $52.13 / $107.54	Professional		$43.44	$52.13	$107.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $68.43 / $151.53	Professional		$58.66	$68.43	$151.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.82 / $392.56 / $464.36	Facility		$150.82	$392.56	$464.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $576.36 / $590.17 / $733.20	Professional		$576.36	$590.17	$733.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $188.94 / $188.94	Professional		$188.94	$188.94	$188.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $84.48 / $99.17	Facility		$23.61	$84.48	$99.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $80.25	Professional		$33.44	$45.81	$80.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $184.50	Professional		$184.50	$184.50	$184.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $73.84 / $78.20	Professional		$43.44	$73.84	$78.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $44.08 / $101.91	Professional		$34.43	$44.08	$101.91