Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $562.34	Facility		$57.54	$57.54	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $489.78	Professional		$40.74	$57.54	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $251.19	Facility		$43.65	$56.23	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $141.25	Professional		$57.54	$57.54	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $302.00	Facility		$97.72	$229.09	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $416.87	Professional		$125.89	$239.88	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $158.49	Professional		$46.77	$57.54	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $213.80	Professional		$79.43	$117.49	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $724.44	Professional		$660.69	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $112.20 / $158.49	Facility		$35.48	$112.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $123.03	Professional		$43.65	$43.65	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $117.49	Professional		$46.77	$69.18	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $63.10 / $131.83	Facility		$7.94	$63.10	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $128.82	Professional		$45.71	$57.54	$128.82