Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $77.06 / $77.06	Facility		$66.80	$77.06	$77.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $68.34 / $91.50	Professional		$58.11	$68.34	$91.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $15.11 / $15.11	Facility		$14.05	$15.11	$15.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $45.64 / $163.13	Professional		$13.80	$45.64	$163.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $106.40 / $159.66	Professional		$74.48	$106.40	$159.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $100.51 / $219.82	Professional		$70.68	$100.51	$219.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $36.71 / $44.05	Professional		$36.71	$36.71	$44.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $638.07 / $801.00	Professional		$113.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $313.37 / $358.15	Facility		$143.31	$313.37	$358.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $578.85	Professional		$575.00	$575.00	$578.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $67.92 / $74.71	Professional		$60.00	$67.92	$74.71
Optum Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $95.00 / $140.06	Professional		$65.51	$95.00	$140.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $79.37 / $112.20	Facility		$61.27	$79.37	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.00 / $139.49	Professional		$27.00	$32.00	$139.49
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $95.00 / $95.00	Facility		$80.00	$95.00	$95.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $95.00 / $146.52	Professional		$70.80	$95.00	$146.52
United Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $78.86	Facility		$78.86	$78.86	$78.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $87.40 / $245.52	Professional		$57.40	$87.40	$245.52