Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $152.66 / $422.14	Facility		$74.36	$152.66	$422.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.20 / $4,257.00	Professional		$74.36	$75.20	$4,257.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $118.78 / $291.37	Facility		$78.89	$118.78	$291.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $77.26 / $158.94	Professional		$74.36	$77.26	$158.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $81.09 / $105.23	Facility		$73.59	$81.09	$105.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $79.42 / $178.41	Professional		$75.76	$79.42	$178.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $70.15 / $74.36	Facility		$70.15	$70.15	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $90.05	Professional		$74.36	$74.36	$90.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $73.37 / $98.43	Professional		$72.91	$73.37	$98.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $89.23 / $163.59	Professional		$66.92	$89.23	$163.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $364.36 / $371.80	Facility		$97.60	$364.36	$371.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.31 / $1,209.31 / $1,209.31	Professional		$1,209.31	$1,209.31	$1,209.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $149.46 / $149.46	Professional		$60.00	$149.46	$149.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $77.33 / $126.68	Facility		$74.36	$77.33	$126.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $91.14	Professional		$74.36	$74.36	$91.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $108.06 / $108.06	Professional		$108.06	$108.06	$108.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $74.36 / $111.54	Professional		$59.49	$74.36	$111.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $130.97	Professional		$74.36	$74.36	$130.97