Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $57.87 / $370.67	Facility		$57.87	$57.87	$370.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $57.87 / $370.67	Professional		$42.19	$57.87	$370.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $181.04 / $407.80	Facility		$43.95	$181.04	$407.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $57.87 / $104.42	Professional		$56.26	$57.87	$104.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $152.09 / $271.58	Facility		$96.60	$152.09	$271.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $170.46 / $397.04	Professional		$69.43	$170.46	$397.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $60.21 / $68.67	Facility		$60.09	$60.21	$68.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $64.19	Professional		$43.95	$43.95	$64.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $55.74 / $141.32	Professional		$46.45	$55.74	$141.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $89.93 / $199.13	Professional		$77.08	$89.93	$199.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.97 / $510.07 / $610.23	Facility		$201.97	$510.07	$610.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $638.51 / $653.85 / $722.63	Professional		$638.51	$653.85	$722.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $197.51 / $197.51	Professional		$197.51	$197.51	$197.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $109.20 / $128.47	Facility		$31.03	$109.20	$128.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $122.28	Professional		$43.95	$60.21	$122.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $242.48 / $242.48	Professional		$242.48	$242.48	$242.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $78.97 / $102.78	Professional		$46.45	$78.97	$102.78
United Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $57.87 / $124.31	Professional		$45.25	$57.87	$124.31