Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $55.48 / $322.75	Facility		$47.99	$55.48	$322.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $48.03 / $69.26	Professional		$36.82	$48.03	$69.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $67.02 / $176.52	Facility		$55.44	$67.02	$176.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $64.15 / $145.66	Professional		$48.53	$64.15	$145.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $56.94 / $91.65	Professional		$41.99	$56.94	$91.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $60.05 / $73.70	Professional		$54.59	$60.05	$73.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $49.13 / $88.25	Professional		$37.82	$49.13	$88.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $240.95 / $240.95	Facility		$85.19	$240.95	$240.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $336.96 / $336.96 / $390.45	Professional		$336.96	$336.96	$390.45
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 $43.69 / $54.84 / $73.29	Facility		$43.69	$54.84	$73.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $82.95	Professional		$43.15	$43.15	$82.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.92 / $179.92 / $179.92	Professional		$179.92	$179.92	$179.92
United Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $61.72 / $157.74	Professional		$44.24	$61.72	$157.74