Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $87.08 / $418.34	Facility		$87.08	$87.08	$418.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.08 / $404.90	Professional		$63.10	$87.08	$404.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $222.27 / $460.24	Facility		$66.13	$222.27	$460.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $87.89 / $146.27	Professional		$70.70	$87.89	$146.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $171.65 / $306.51	Facility		$95.50	$171.65	$306.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $192.37 / $448.12	Professional		$78.36	$192.37	$448.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $128.85 / $128.85	Facility		$67.81	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $132.72	Professional		$109.52	$109.52	$132.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $144.99 / $173.99	Professional		$115.99	$144.99	$173.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $101.49 / $224.73	Professional		$86.99	$101.49	$224.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.97 / $720.02 / $720.02	Facility		$289.97	$720.02	$720.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.68 / $763.57 / $1,087.43	Professional		$745.68	$763.57	$1,087.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $435.39 / $435.39	Professional		$435.39	$435.39	$435.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $128.85 / $150.47	Facility		$46.70	$128.85	$150.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $115.18 / $138.00	Professional		$109.52	$115.18	$138.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $273.67 / $273.67	Professional		$273.67	$273.67	$273.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $115.99 / $115.99	Professional		$115.99	$115.99	$115.99
United Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $73.59 / $145.07	Professional		$67.42	$73.59	$145.07