Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $77.12 / $80.16	Facility		$71.25	$77.12	$80.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $88.73 / $121.89	Professional		$71.25	$88.73	$121.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $110.18 / $110.18	Facility		$102.47	$110.18	$110.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $102.63 / $179.45	Professional		$67.55	$102.63	$179.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $128.97 / $254.34	Facility		$87.40	$128.97	$254.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $106.40 / $160.93	Professional		$74.48	$106.40	$160.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $112.38 / $257.61	Professional		$82.11	$112.38	$257.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $107.15 / $143.00	Professional		$77.50	$107.15	$143.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $94.10 / $148.79	Professional		$76.70	$94.10	$148.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.75 / $436.95 / $436.95	Facility		$408.75	$436.95	$436.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $553.95 / $619.07 / $819.23	Professional		$553.95	$619.07	$819.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $99.04 / $133.87	Facility		$73.39	$99.04	$133.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $95.00 / $207.48	Professional		$68.00	$95.00	$207.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $288.60 / $318.66	Professional		$288.60	$288.60	$318.66
United Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $137.69 / $137.69	Facility		$112.55	$137.69	$137.69
United Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $102.86 / $330.81	Professional		$72.52	$102.86	$330.81