Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $324.70 / $2,221.00	Facility		$69.55	$324.70	$2,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $69.55 / $166.73	Professional		$62.28	$69.55	$166.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $115.94 / $2,914.00	Facility		$76.09	$115.94	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $99.73 / $195.12	Professional		$76.09	$99.73	$195.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $87.04 / $206.62	Professional		$71.69	$87.04	$206.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.80 / $304.75 / $360.96	Facility		$273.80	$304.75	$360.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $88.26 / $202.60	Professional		$62.50	$88.26	$202.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $81.50 / $110.03	Professional		$61.12	$81.50	$110.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $87.59 / $161.44	Professional		$66.20	$87.59	$161.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $370.00 / $370.00	Facility		$163.44	$370.00	$370.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.00 / $1,410.00 / $1,410.00	Professional		$1,410.00	$1,410.00	$1,410.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $94.21 / $222.00	Facility		$69.66	$94.21	$222.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $90.13 / $193.45	Professional		$62.50	$90.13	$193.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $233.71 / $233.71	Professional		$233.71	$233.71	$233.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $90.59 / $328.82	Professional		$65.88	$90.59	$328.82
United Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $92.03 / $204.65	Professional		$55.31	$92.03	$204.65