Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $6,309.57	Facility		$77.62	$123.03	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $144.54	Professional		$54.95	$56.23	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $169.82	Facility		$60.26	$75.86	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $141.25	Professional		$54.95	$72.44	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $95.50	Facility		$74.13	$83.18	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $138.04	Professional		$54.95	$67.61	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $54.95	Facility		$50.12	$50.12	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Professional		$54.95	$54.95	$63.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $109.65	Professional		$50.12	$61.66	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $114.82	Facility		$54.95	$64.57	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $87.10	Professional		$56.23	$56.23	$87.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $95.50	Professional		$44.67	$61.66	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62