Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $45.32 / $88.43	Facility		$42.16	$45.32	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $71.66 / $113.48	Professional		$40.27	$71.66	$113.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $58.28 / $58.28	Facility		$54.20	$58.28	$58.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $75.56 / $153.59	Professional		$41.95	$75.56	$153.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $137.34 / $208.12 / $208.12	Facility		$137.34	$208.12	$208.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $74.90 / $121.20	Professional		$46.52	$74.90	$121.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $90.18 / $218.02	Professional		$46.85	$90.18	$218.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $75.09 / $129.04	Professional		$46.94	$75.09	$129.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $65.72 / $111.09	Professional		$37.40	$65.72	$111.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $207.05 / $207.05	Facility		$190.76	$207.05	$207.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $339.15 / $661.58	Professional		$267.82	$339.15	$661.58
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 $41.88 / $71.66 / $109.35	Facility		$41.88	$71.66	$109.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $98.75 / $203.09	Professional		$48.33	$98.75	$203.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $144.16 / $265.58	Professional		$144.16	$144.16	$265.58
United Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $92.65 / $92.65	Facility		$92.65	$92.65	$92.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $88.62 / $294.25	Professional		$63.56	$88.62	$294.25