Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $115.16 / $658.16	Facility		$104.77	$115.16	$658.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $109.29 / $244.94	Professional		$97.04	$109.29	$244.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $126.14 / $331.97	Facility		$104.25	$126.14	$331.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $129.18 / $266.42	Professional		$101.40	$129.18	$266.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $100.00 / $396.67	Facility		$56.80	$100.00	$396.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $118.56 / $288.97	Professional		$90.31	$118.56	$288.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $142.65 / $313.73	Professional		$111.85	$142.65	$313.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $129.31 / $158.69	Professional		$117.55	$129.31	$158.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $120.23 / $240.46	Professional		$96.30	$120.23	$240.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.80 / $479.89 / $519.17	Facility		$245.80	$479.89	$519.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $686.29 / $686.29 / $863.25	Professional		$686.29	$686.29	$863.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.01	Professional		$32.34	$32.34	$154.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $131.47 / $183.24	Facility		$103.90	$131.47	$183.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $158.90 / $292.94	Professional		$113.76	$158.90	$292.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $368.76 / $368.76	Professional		$368.76	$368.76	$368.76
United Facility/Professional Facility Modifier Low / Median / High Price $122.12 / $122.12 / $122.12	Facility		$122.12	$122.12	$122.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $122.78 / $274.50	Professional		$89.64	$122.78	$274.50