Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $87.10	Facility		$41.69	$44.67	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $229.09	Professional		$40.74	$77.62	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $58.88	Facility		$53.70	$53.70	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $204.17	Professional		$44.67	$95.50	$204.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $147.91	Professional		$46.77	$85.11	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $199.53	Professional		$46.77	$87.10	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $141.25	Professional		$41.69	$66.07	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $104.71	Professional		$33.88	$67.61	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $660.69	Professional		$512.86	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $112.20	Facility		$39.81	$72.44	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $190.55	Professional		$46.77	$89.13	$190.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $263.03	Professional		$144.54	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $154.88	Professional		$38.02	$70.79	$154.88