Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $98.09 / $492.25	Facility		$86.80	$98.09	$492.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $98.61 / $436.65	Professional		$81.23	$98.61	$436.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.65 / $189.53 / $498.81	Facility		$156.65	$189.53	$498.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $192.06 / $353.79	Professional		$96.29	$192.06	$353.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $99.77 / $196.95	Professional		$69.95	$99.77	$196.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $111.11 / $243.04	Professional		$88.45	$111.11	$243.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $85.95 / $116.03	Professional		$78.31	$85.95	$116.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $95.05 / $197.69	Professional		$72.78	$95.05	$197.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $372.39 / $390.64	Facility		$194.13	$372.39	$390.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $509.49 / $509.49 / $674.25	Professional		$509.49	$509.49	$674.25
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 $79.37 / $98.69 / $179.03	Facility		$79.37	$98.69	$179.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $121.42 / $218.34	Professional		$89.25	$121.42	$218.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.92 / $270.92 / $270.92	Professional		$270.92	$270.92	$270.92
United Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $104.49 / $220.49	Professional		$71.01	$104.49	$220.49