Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $45.21 / $178.72	Facility		$37.33	$45.21	$178.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $45.09 / $97.10	Professional		$32.58	$45.09	$97.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	25	$78.05	$78.05	$78.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $57.24 / $150.75	Facility		$47.34	$57.24	$150.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $58.16 / $98.62	Professional		$44.43	$58.16	$98.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $45.00 / $83.05	Professional		$38.79	$45.00	$83.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $54.25 / $125.66	Professional		$32.33	$54.25	$125.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $81.63 / $113.70	Professional		$54.42	$81.63	$113.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $65.70 / $114.15	Professional		$42.92	$65.70	$114.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.04 / $239.83 / $239.83	Facility		$221.04	$239.83	$239.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $314.14 / $435.65	Professional		$314.14	$314.14	$435.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.00	Professional		$32.34	$32.34	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $58.40 / $95.40	Facility		$37.33	$58.40	$95.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $58.78 / $125.77	Professional		$37.83	$58.78	$125.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $67.34 / $116.75	Professional		$67.34	$67.34	$116.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $51.46 / $128.93	Professional		$34.72	$51.46	$128.93