Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $66.06 / $161.04	Facility		$65.41	$66.06	$161.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $66.06 / $161.04	Professional		$65.41	$66.06	$161.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $75.90 / $128.41	Facility		$63.75	$75.90	$128.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $143.76	Professional		$65.41	$65.41	$143.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $83.13 / $100.00	Facility		$42.62	$83.13	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $28.00 / $79.61	Professional		$19.60	$28.00	$79.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $61.70 / $65.40	Facility		$61.70	$61.70	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $91.74	Professional		$65.40	$65.40	$91.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $65.41 / $88.30	Professional		$39.06	$65.41	$88.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $81.76 / $143.90	Professional		$58.87	$81.76	$143.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $288.80 / $288.80	Facility		$87.01	$288.80	$288.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $288.80 / $360.81	Professional		$288.80	$288.80	$360.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $134.09 / $134.09	Professional		$42.96	$134.09	$134.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $65.41 / $103.34	Facility		$48.30	$65.41	$103.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $92.55	Professional		$65.40	$65.40	$92.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $46.87 / $71.95	Professional		$39.06	$46.87	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $122.54	Professional		$65.41	$65.41	$122.54