Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $156.38 / $10,193.82	Facility		$75.97	$156.38	$10,193.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.97 / $242.51	Professional		$75.22	$75.97	$242.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $120.15 / $294.74	Facility		$79.80	$120.15	$294.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $78.79 / $171.91	Professional		$75.22	$78.79	$171.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $95.83 / $112.74	Facility		$75.70	$95.83	$112.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $78.98 / $188.09	Professional		$75.22	$78.98	$188.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $75.22	Facility		$70.95	$70.95	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $95.83	Professional		$75.22	$75.22	$95.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $76.73 / $103.59	Professional		$76.43	$76.73	$103.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $90.26 / $165.48	Professional		$67.70	$90.26	$165.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $462.80 / $462.80	Facility		$112.74	$462.80	$462.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $359.03 / $359.03 / $359.03	Professional		$359.03	$359.03	$359.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $157.29 / $157.29	Professional		$157.29	$157.29	$157.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $79.73 / $128.34	Facility		$75.22	$79.73	$128.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $106.44	Professional		$75.22	$75.22	$106.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $164.74 / $164.74	Professional		$164.74	$164.74	$164.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $75.22 / $112.83	Professional		$60.18	$75.22	$112.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $137.19	Professional		$75.22	$75.22	$137.19