Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $146.16 / $329.42	Facility		$60.09	$146.16	$329.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $159.32	Professional		$57.92	$60.09	$159.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $102.16 / $229.02	Facility		$64.01	$102.16	$229.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $61.54 / $120.18	Professional		$59.00	$61.54	$120.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.82 / $68.78 / $104.26	Facility		$60.82	$68.78	$104.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $67.11 / $144.27	Professional		$65.16	$67.11	$144.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $105.79	Facility		$61.54	$61.54	$105.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $87.48	Professional		$64.80	$64.80	$87.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $132.00 / $638.07	Professional		$81.00	$132.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $329.55 / $329.55	Facility		$84.79	$329.55	$329.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,649.11 / $2,649.11 / $2,649.11	Professional		$2,649.11	$2,649.11	$2,649.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $132.77 / $132.77	Professional		$60.00	$132.77	$132.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $63.96 / $315.26	Facility		$58.64	$63.96	$315.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $75.43	Professional		$61.54	$61.54	$75.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $110.25 / $110.25	Professional		$110.25	$110.25	$110.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $78.44 / $90.51	Professional		$60.34	$78.44	$90.51
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $108.61	Professional		$60.34	$60.34	$108.61