Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $70.73 / $371.26	Facility		$70.73	$70.73	$371.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $70.73 / $371.26	Professional		$56.60	$70.73	$371.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $195.25 / $408.44	Facility		$53.72	$195.25	$408.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $110.08 / $235.00	Professional		$64.31	$110.08	$235.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $152.35 / $272.06	Facility		$97.00	$152.35	$272.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $170.72 / $397.67	Professional		$69.54	$170.72	$397.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $104.66 / $104.66	Facility		$60.19	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $107.80	Professional		$88.96	$88.96	$107.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $82.54 / $141.54	Professional		$68.78	$82.54	$141.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $90.07 / $199.44	Professional		$77.20	$90.07	$199.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $613.91 / $613.91	Facility		$221.49	$613.91	$613.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $965.03	Professional		$663.63	$663.63	$965.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $271.72 / $271.72	Professional		$271.72	$271.72	$271.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $112.67 / $132.55	Facility		$37.93	$112.67	$132.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $122.47	Professional		$88.96	$104.66	$122.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $242.86 / $242.86	Professional		$242.86	$242.86	$242.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $102.94 / $103.17	Professional		$68.78	$102.94	$103.17
United Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $63.62 / $122.12	Professional		$55.31	$63.62	$122.12