Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $136.22 / $431.50	Facility		$134.88	$136.22	$431.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $136.22 / $431.50	Professional		$134.88	$136.22	$431.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $159.19 / $269.35	Facility		$133.71	$159.19	$269.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $148.84 / $386.67	Professional		$134.88	$148.84	$386.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $135.29 / $300.33	Professional		$94.70	$135.29	$300.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $134.88	Facility		$127.25	$127.25	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $165.43	Professional		$134.88	$134.88	$165.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $143.41 / $193.61	Professional		$120.84	$143.41	$193.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.40 / $168.61 / $296.76	Professional		$121.40	$168.61	$296.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $199.01 / $633.20	Facility		$179.42	$199.01	$633.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $633.20 / $633.20	Professional		$633.20	$633.20	$633.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.92 / $294.01 / $294.01	Professional		$132.92	$294.01	$294.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $148.37 / $229.68	Facility		$134.88	$148.37	$229.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $174.99	Professional		$134.88	$134.88	$174.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $282.26 / $282.26 / $282.26	Professional		$282.26	$282.26	$282.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $120.84 / $148.37	Professional		$107.91	$120.84	$148.37
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $252.70	Professional		$134.88	$134.88	$252.70