Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $64.31 / $84.66	Facility		$57.19	$64.31	$84.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $68.37 / $88.47	Professional		$55.52	$68.37	$88.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.38 / $75.42 / $198.63	Facility		$62.38	$75.42	$198.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $76.47 / $152.84	Professional		$65.04	$76.47	$152.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $74.04 / $182.18	Professional		$56.18	$74.04	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $83.91 / $133.46	Professional		$62.65	$83.91	$133.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $92.33 / $101.56	Professional		$38.40	$92.33	$101.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $96.09 / $190.95	Professional		$74.72	$96.09	$190.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.29 / $367.85 / $403.04	Facility		$175.29	$367.85	$403.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $466.74 / $466.74 / $480.29	Professional		$466.74	$466.74	$480.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $100.38 / $125.64	Facility		$67.88	$100.38	$125.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $93.34 / $123.48	Professional		$62.04	$93.34	$123.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $191.32 / $191.32	Professional		$191.32	$191.32	$191.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $66.77 / $85.85	Professional		$47.69	$66.77	$85.85
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $84.14 / $201.18	Professional		$57.96	$84.14	$201.18