Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $142.30 / $417.03	Facility		$79.86	$142.30	$417.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $79.86 / $169.72	Professional		$76.69	$79.86	$169.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $127.56 / $285.95	Facility		$69.78	$127.56	$285.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $163.80	Professional		$63.38	$79.86	$163.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $196.94	Facility		$77.70	$100.00	$196.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $85.44 / $220.88	Professional		$81.37	$85.44	$220.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $79.86	Facility		$75.34	$75.34	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $104.51	Professional		$79.86	$79.86	$104.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $74.76 / $100.92	Professional		$63.18	$74.76	$100.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $95.83 / $180.98	Professional		$71.87	$95.83	$180.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $760.75 / $760.75	Facility		$176.49	$760.75	$760.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,956.64 / $4,956.64 / $4,956.64	Professional		$4,956.64	$4,956.64	$4,956.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $153.25 / $153.25	Professional		$60.00	$153.25	$153.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $93.45 / $160.22	Facility		$79.86	$93.45	$160.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $145.81	Professional		$79.86	$79.86	$145.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.82 / $270.82 / $270.82	Professional		$270.82	$270.82	$270.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $79.86 / $119.79	Professional		$63.89	$79.86	$119.79
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $162.00	Professional		$79.86	$84.65	$162.00