Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $154.56 / $653.22	Facility		$75.78	$154.56	$653.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.94 / $209.00	Professional		$75.03	$76.94	$209.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $119.83 / $294.00	Facility		$79.59	$119.83	$294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.06 / $164.44	Professional		$75.03	$79.06	$164.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $138.61	Facility		$77.09	$100.00	$138.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $78.78 / $182.90	Professional		$75.03	$78.78	$182.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $75.02	Facility		$70.78	$70.78	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $103.80	Professional		$75.02	$75.02	$103.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $77.05 / $104.02	Professional		$75.69	$77.05	$104.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $90.04 / $168.82	Professional		$67.53	$90.04	$168.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $498.40 / $498.40	Facility		$117.52	$498.40	$498.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,766.52 / $3,766.52 / $3,766.52	Professional		$3,766.52	$3,766.52	$3,766.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $157.95 / $157.95	Professional		$60.00	$157.95	$157.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $75.78 / $127.24	Facility		$70.40	$75.78	$127.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $106.78	Professional		$75.02	$75.02	$106.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.42 / $177.42 / $177.42	Professional		$177.42	$177.42	$177.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $75.03 / $112.54	Professional		$60.02	$75.03	$112.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $148.78	Professional		$75.03	$75.03	$148.78