Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $128.60 / $748.99	Facility		$111.88	$128.60	$748.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $120.31 / $163.22	Professional		$86.76	$120.31	$163.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.07 / $170.57 / $449.21	Facility		$141.07	$170.57	$449.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $157.09 / $271.72	Professional		$117.05	$157.09	$271.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $133.19 / $209.38	Professional		$97.90	$133.19	$209.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $148.31 / $182.02	Professional		$134.83	$148.31	$182.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $121.35 / $218.80	Professional		$93.77	$121.35	$218.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $601.19 / $601.19	Facility		$201.04	$601.19	$601.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $768.84 / $973.43	Professional		$768.84	$768.84	$973.43
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 $105.55 / $131.01 / $177.07	Facility		$105.55	$131.01	$177.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $193.57	Professional		$107.43	$107.43	$193.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $421.63 / $421.63	Professional		$421.63	$421.63	$421.63
United Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $143.97 / $368.24	Professional		$103.88	$143.97	$368.24