Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $147.10 / $386.12	Facility		$73.94	$147.10	$386.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.67 / $141.27	Professional		$73.94	$74.67	$141.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $118.09 / $264.70	Facility		$78.43	$118.09	$264.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $76.31 / $152.53	Professional		$73.55	$76.31	$152.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $79.64 / $109.50	Facility		$64.40	$79.64	$109.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $78.34 / $167.85	Professional		$75.33	$78.34	$167.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $69.75 / $73.94	Facility		$69.75	$69.75	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $83.83	Professional		$73.94	$73.94	$83.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $95.00	Professional		$70.37	$70.38	$95.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $88.73 / $156.00	Professional		$66.55	$88.73	$156.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $351.90 / $369.70	Facility		$93.62	$351.90	$369.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $310.70 / $310.70	Professional		$310.70	$310.70	$310.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $144.25 / $144.25	Professional		$60.00	$144.25	$144.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $76.15 / $122.93	Facility		$73.94	$76.15	$122.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.96	Professional		$73.94	$73.94	$87.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $95.98 / $95.98	Professional		$95.98	$95.98	$95.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $73.94 / $110.90	Professional		$59.15	$73.94	$110.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $128.87	Professional		$73.94	$73.94	$128.87