Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $161.94 / $7,168.81	Facility		$79.15	$161.94	$7,168.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $79.25 / $210.12	Professional		$78.37	$79.25	$210.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $125.18 / $307.08	Facility		$83.14	$125.18	$307.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $81.43 / $157.99	Professional		$78.37	$81.43	$157.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $85.32 / $102.49	Facility		$74.50	$85.32	$102.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $83.84 / $171.84	Professional		$79.84	$83.84	$171.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $73.93 / $78.37	Facility		$73.93	$73.93	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $99.81	Professional		$78.37	$78.37	$99.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.52 / $104.08	Professional		$77.09	$77.52	$104.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $94.04 / $172.41	Professional		$70.53	$94.04	$172.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.11 / $387.60 / $391.85	Facility		$103.11	$387.60	$391.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $933.66 / $933.66	Professional		$933.66	$933.66	$933.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $158.05 / $158.05	Professional		$60.00	$158.05	$158.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.27 / $78.37 / $125.37	Facility		$65.27	$78.37	$125.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $99.02	Professional		$78.37	$78.37	$99.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $114.42 / $114.42	Professional		$114.42	$114.42	$114.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $78.37 / $117.55	Professional		$62.70	$78.37	$117.55
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $139.91	Professional		$78.37	$78.37	$139.91