Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $467.74 / $776.25	Facility		$158.49	$467.74	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $114.82	Professional		$75.86	$93.33	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $575.44	Facility		$147.91	$281.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $151.36	Professional		$45.71	$58.88	$151.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $295.12 / $1,122.02	Facility		$61.66	$295.12	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $263.03	Professional		$67.61	$91.20	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $380.19	Facility		$75.86	$186.21	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $173.78	Professional		$67.61	$138.04	$173.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $125.89	Professional		$91.20	$114.82	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $199.53	Professional		$91.20	$114.82	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $57.54	Professional		$19.95	$19.95	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $288.40	Facility		$69.18	$131.83	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $114.82	Professional		$67.61	$109.65	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $154.88	Professional		$91.20	$102.33	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $114.82	Facility		$51.29	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $204.17	Professional		$47.86	$47.86	$204.17