Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $142.74 / $383.54	Facility		$71.37	$142.74	$383.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.08 / $162.82	Professional		$71.37	$72.08	$162.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $114.00 / $279.66	Facility		$75.72	$114.00	$279.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $72.47 / $141.34	Professional		$69.84	$72.47	$141.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $83.20 / $101.00	Facility		$70.73	$83.20	$101.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $76.36 / $161.44	Professional		$72.72	$76.36	$161.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $67.33 / $71.37	Facility		$67.33	$67.33	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $87.53	Professional		$71.37	$71.37	$87.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $67.63 / $88.18	Professional		$65.31	$67.63	$88.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $85.64 / $155.59	Professional		$64.23	$85.64	$155.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $338.15 / $356.85	Facility		$89.96	$338.15	$356.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.38 / $288.38 / $288.38	Professional		$288.38	$288.38	$288.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $133.90 / $133.90	Professional		$60.00	$133.90	$133.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $74.23 / $120.40	Facility		$71.37	$74.23	$120.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $87.53	Professional		$71.37	$71.37	$87.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $100.18 / $100.18	Professional		$100.18	$100.18	$100.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $71.37 / $107.06	Professional		$57.10	$71.37	$107.06
United Facility/Professional Facility Modifier Low / Median / High Price $164.03 / $172.87 / $172.87	Facility		$164.03	$172.87	$172.87
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.84 / $119.13	Professional		$71.37	$71.84	$119.13