Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $100.60 / $498.05	Facility		$92.18	$100.60	$498.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $91.01 / $165.75	Professional		$78.95	$91.01	$165.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $293.00 / $876.00	Facility		$97.58	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $122.44 / $240.84	Professional		$94.19	$122.44	$240.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $100.00 / $259.20	Facility		$55.84	$100.00	$259.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $104.42 / $201.61	Professional		$73.84	$104.42	$201.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $171.67 / $587.45	Facility		$96.70	$171.67	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $121.86 / $244.40	Professional		$94.23	$121.86	$244.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $101.62 / $124.71	Professional		$92.38	$101.62	$124.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $91.76 / $194.00	Professional		$75.08	$91.76	$194.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $379.97 / $409.55	Facility		$195.88	$379.97	$409.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $533.04 / $682.58	Professional		$533.04	$533.04	$682.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.40	Professional		$32.34	$32.34	$121.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $101.84 / $147.97	Facility		$80.18	$101.84	$147.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $129.33 / $227.92	Professional		$96.59	$129.33	$227.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $280.83 / $280.83	Professional		$280.83	$280.83	$280.83
United Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $95.94 / $189.75	Professional		$68.88	$95.94	$189.75