Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $91.13 / $121.50	Facility		$74.23	$91.13	$121.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $98.09 / $144.96	Professional		$72.06	$98.09	$144.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $175.00 / $175.00 / $175.00	Professional	25	$175.00	$175.00	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $98.33 / $258.98	Facility		$81.33	$98.33	$258.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $102.86 / $196.63	Professional		$84.60	$102.86	$196.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $98.95 / $241.30	Professional		$75.26	$98.95	$241.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $120.83 / $211.70	Professional		$81.47	$120.83	$211.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $146.74 / $161.41	Professional		$46.60	$146.74	$161.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $153.50 / $304.77	Professional		$119.26	$153.50	$304.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.86 / $588.88 / $642.87	Facility		$282.86	$588.88	$642.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.17 / $753.17 / $775.98	Professional		$753.17	$753.17	$775.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.81 / $137.77 / $173.75	Facility		$84.81	$137.77	$173.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $148.87 / $189.48	Professional		$89.55	$148.87	$189.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.10 / $275.10 / $275.10	Professional		$275.10	$275.10	$275.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $81.03 / $133.40	Professional		$57.88	$81.03	$133.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $120.73 / $320.31	Professional		$75.84	$120.73	$320.31