Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $126.57 / $357.03	Facility		$61.44	$126.57	$357.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.60 / $196.71	Professional		$61.44	$63.60	$196.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $98.14 / $219.99	Facility		$65.18	$98.14	$219.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.34 / $148.53	Professional		$61.44	$65.34	$148.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $86.90 / $134.63	Facility		$73.40	$86.90	$134.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $65.73 / $156.53	Professional		$62.60	$65.73	$156.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $57.96 / $61.44	Facility		$57.96	$57.96	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $79.48	Professional		$61.44	$61.44	$79.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $67.38 / $85.14	Professional		$63.06	$67.38	$85.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $73.73 / $139.24	Professional		$55.30	$73.73	$139.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $375.40 / $375.40	Facility		$93.50	$375.40	$375.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $303.45 / $303.45	Professional		$303.45	$303.45	$303.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $129.27 / $129.27	Professional		$129.27	$129.27	$129.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $65.08 / $104.66	Facility		$61.44	$65.08	$104.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $86.94	Professional		$61.44	$61.44	$86.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $133.63 / $133.63	Professional		$133.63	$133.63	$133.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $61.44 / $92.15	Professional		$49.15	$61.44	$92.15
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.67 / $118.03	Professional		$61.44	$62.67	$118.03