Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $137.74 / $610.79	Facility		$94.99	$137.74	$610.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $137.74 / $610.79	Professional		$75.98	$137.74	$610.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $215.69 / $486.00	Facility		$101.81	$215.69	$486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $148.82 / $352.40	Professional		$38.00	$148.82	$352.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $117.41 / $267.87	Facility		$68.68	$117.41	$267.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $94.99 / $238.80	Professional		$66.48	$94.99	$238.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $164.23 / $317.95	Facility		$61.12	$164.23	$317.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $81.84 / $257.27	Professional		$50.54	$81.84	$257.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $104.49 / $128.24	Professional		$94.99	$104.49	$128.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $109.24 / $208.98	Professional		$85.49	$109.24	$208.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $451.20 / $451.20	Facility		$165.28	$451.20	$451.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.95 / $474.95 / $712.43	Professional		$474.95	$474.95	$712.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $124.71 / $272.95	Facility		$75.98	$124.71	$272.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $109.24 / $194.91	Professional		$62.96	$109.24	$194.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $333.41 / $333.41	Professional		$333.41	$333.41	$333.41
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $188.73	Professional		$39.90	$39.90	$188.73