Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $217.76 / $330.82	Facility		$60.93	$217.76	$330.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $40.13 / $217.76	Professional		$32.50	$40.13	$217.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $124.10 / $312.00	Facility		$63.39	$124.10	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $217.11 / $444.15	Professional		$55.81	$217.11	$444.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $100.00 / $145.09	Facility		$37.20	$100.00	$145.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.30 / $180.79	Professional		$50.61	$72.30	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $88.95 / $172.22	Facility		$37.79	$88.95	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $44.33 / $139.35	Professional		$27.31	$44.33	$139.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $56.60 / $69.45	Professional		$51.45	$56.60	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $59.17 / $116.60	Professional		$46.31	$59.17	$116.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.52 / $412.15 / $412.15	Facility		$89.52	$412.15	$412.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $257.25 / $385.88	Professional		$257.25	$257.25	$385.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.82 / $67.55 / $217.76	Facility		$47.82	$67.55	$217.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $59.17 / $105.98	Professional		$34.08	$59.17	$105.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $180.58 / $180.58	Professional		$180.58	$180.58	$180.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $103.26	Professional		$21.61	$21.61	$103.26