Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $98.68 / $168.27	Professional		$73.80	$98.68	$168.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.58 / $157.00	Facility		$2.58	$2.58	$157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $108.69 / $160.13	Professional		$2.88	$108.69	$160.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $108.13 / $122.52	Professional		$75.69	$108.13	$122.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $145.31	Professional		$94.04	$94.04	$145.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $122.42 / $134.66	Professional		$97.94	$122.42	$134.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $111.42 / $234.19	Professional		$85.16	$111.42	$234.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.83 / $538.49 / $538.49	Facility		$179.83	$538.49	$538.49
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 $39.86 / $91.94 / $144.85	Facility		$39.86	$91.94	$144.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $138.62	Professional		$94.04	$94.04	$138.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.25 / $348.25 / $348.25	Professional		$348.25	$348.25	$348.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $100.50 / $220.84	Professional		$84.28	$100.50	$220.84