Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $79.08 / $456.22	Facility		$68.68	$79.08	$456.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $72.59 / $99.47	Professional		$53.10	$72.59	$99.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.59 / $104.69 / $275.72	Facility		$86.59	$104.69	$275.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $96.41 / $166.66	Professional		$71.66	$96.41	$166.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $81.70 / $128.41	Professional		$60.10	$81.70	$128.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $91.26 / $112.00	Professional		$82.96	$91.26	$112.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $74.66 / $134.30	Professional		$57.56	$74.66	$134.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $368.27 / $368.27	Facility		$123.28	$368.27	$368.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $472.57 / $596.25	Professional		$472.57	$472.57	$596.25
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 $64.77 / $80.36 / $108.95	Facility		$64.77	$80.36	$108.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $119.04	Professional		$65.77	$65.77	$119.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $256.19 / $256.19 / $256.19	Professional		$256.19	$256.19	$256.19
United Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $87.63 / $211.27	Professional		$62.44	$87.63	$211.27