Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $130.97 / $1,580.25	Facility		$23.36	$130.97	$1,580.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $65.89 / $172.09	Professional		$21.98	$65.89	$172.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $47.90 / $126.07	Facility		$39.59	$47.90	$126.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $54.10 / $215.91	Professional		$34.45	$54.10	$215.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $62.64 / $129.52	Professional		$24.12	$62.64	$129.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $73.78 / $151.94	Professional		$25.29	$73.78	$151.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $69.63 / $94.83	Professional		$26.29	$69.63	$94.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $57.94 / $113.00	Professional		$23.63	$57.94	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $116.23 / $116.23	Facility		$107.50	$116.23	$116.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.37 / $476.90 / $497.63	Professional		$222.37	$476.90	$497.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $50.29	Professional		$32.34	$32.34	$50.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $61.13 / $103.62	Facility		$24.47	$61.13	$103.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $77.89 / $165.60	Professional		$25.65	$77.89	$165.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $247.16	Professional		$75.25	$75.25	$247.16
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $90.03 / $188.55	Professional		$60.90	$90.03	$188.55