Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $79.27 / $460.30	Facility		$67.94	$79.27	$460.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $73.38 / $133.30	Professional		$51.24	$73.38	$133.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $108.38 / $285.43	Facility		$89.64	$108.38	$285.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $99.81 / $218.40	Professional		$70.09	$99.81	$218.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $80.68 / $126.31	Professional		$59.45	$80.68	$126.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $93.90 / $115.24	Professional		$85.36	$93.90	$115.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $76.81 / $136.43	Professional		$58.47	$76.81	$136.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $378.53 / $378.53	Facility		$125.69	$378.53	$378.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.20 / $472.20 / $609.23	Professional		$472.20	$472.20	$609.23
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 $63.89 / $80.62 / $110.97	Facility		$63.89	$80.62	$110.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $111.10	Professional		$66.06	$66.06	$111.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $252.00	Professional		$252.00	$252.00	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $86.41 / $214.05	Professional		$61.32	$86.41	$214.05