Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $152.61 / $2,620.80	Facility		$69.37	$152.61	$2,620.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $72.17 / $133.13	Professional		$69.37	$72.17	$133.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $110.80 / $271.82	Facility		$73.78	$110.80	$271.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.48 / $170.35	Professional		$69.37	$77.48	$170.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $87.26 / $112.20	Facility		$73.30	$87.26	$112.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $72.84 / $164.25	Professional		$69.37	$72.84	$164.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $69.37	Facility		$63.71	$63.71	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $86.37	Professional		$69.37	$69.37	$86.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $73.91 / $97.17	Professional		$71.98	$73.91	$97.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $83.24 / $148.00	Professional		$62.43	$83.24	$148.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $457.60 / $457.60	Facility		$112.20	$457.60	$457.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.82 / $317.82 / $317.82	Professional		$317.82	$317.82	$317.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $147.55 / $147.55	Professional		$147.55	$147.55	$147.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $72.84 / $117.88	Facility		$69.37	$72.84	$117.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $88.69	Professional		$69.37	$69.37	$88.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $207.75 / $207.75	Professional		$207.75	$207.75	$207.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $69.37 / $104.05	Professional		$55.49	$69.37	$104.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $126.06	Professional		$69.37	$69.37	$126.06