Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $60.81 / $389.51	Facility		$60.81	$60.81	$389.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $60.81 / $389.51	Professional		$44.24	$60.81	$389.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $190.24 / $428.53	Facility		$46.18	$190.24	$428.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $61.57 / $97.20	Professional		$49.39	$61.57	$97.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $159.82 / $285.39	Facility		$95.50	$159.82	$285.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $179.12 / $417.22	Professional		$72.95	$179.12	$417.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $66.22 / $72.16	Facility		$63.14	$66.22	$72.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $70.59	Professional		$48.34	$48.34	$70.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $86.59 / $148.50	Professional		$72.16	$86.59	$148.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $94.50 / $209.25	Professional		$81.00	$94.50	$209.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.07 / $551.54 / $641.25	Facility		$275.07	$551.54	$641.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,076.35 / $1,076.35	Professional		$1,051.10	$1,076.35	$1,076.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $207.56 / $207.56	Professional		$207.56	$207.56	$207.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $112.75 / $136.99	Facility		$32.61	$112.75	$136.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $119.72	Professional		$48.34	$66.22	$119.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $254.80 / $254.80	Professional		$254.80	$254.80	$254.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $108.00 / $108.24	Professional		$72.16	$108.00	$108.24
United Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $58.32 / $128.44	Professional		$47.54	$58.32	$128.44