Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $182.20 / $1,062.38	Facility		$157.85	$182.20	$1,062.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $159.91 / $228.47	Professional		$121.50	$159.91	$228.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.99 / $240.59 / $633.64	Facility		$198.99	$240.59	$633.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $221.58 / $504.42	Professional		$159.68	$221.58	$504.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $187.52 / $294.76	Professional		$138.12	$187.52	$294.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $193.97 / $238.06	Professional		$176.34	$193.97	$238.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $158.71 / $286.72	Professional		$122.88	$158.71	$286.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $788.47 / $788.47	Facility		$280.38	$788.47	$788.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.55 / $1,105.55 / $1,277.03	Professional		$1,105.55	$1,105.55	$1,277.03
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 $143.34 / $179.30 / $238.17	Facility		$143.34	$179.30	$238.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $252.36	Professional		$141.06	$141.06	$252.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $593.16 / $593.16 / $593.16	Professional		$593.16	$593.16	$593.16
United Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $200.83 / $501.76	Professional		$145.60	$200.83	$501.76