Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $110.74 / $637.24	Facility		$95.17	$110.74	$637.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $102.90 / $136.47	Professional		$72.18	$102.90	$136.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $151.77 / $399.71	Facility		$125.53	$151.77	$399.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $139.77 / $303.27	Professional		$98.21	$139.77	$303.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $112.52 / $177.06	Professional		$83.27	$112.52	$177.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $130.97 / $160.74	Professional		$119.07	$130.97	$160.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $107.16 / $190.72	Professional		$81.73	$107.16	$190.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $529.32 / $529.32	Facility		$175.75	$529.32	$529.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $661.36 / $852.30	Professional		$661.36	$661.36	$852.30
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 $89.52 / $112.44 / $154.93	Facility		$89.52	$112.44	$154.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $166.76	Professional		$92.55	$92.55	$166.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $350.40 / $350.40	Professional		$350.40	$350.40	$350.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $122.22 / $345.36	Professional		$85.40	$122.22	$345.36