Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $93.27 / $93.27	Facility		$88.93	$93.27	$93.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $99.82 / $139.84	Professional		$73.75	$99.82	$139.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $15.39	Facility		$3.40	$3.40	$15.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $75.09 / $224.11	Professional		$3.10	$75.09	$224.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $117.07 / $270.93	Professional		$85.49	$117.07	$270.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $132.99 / $163.22	Professional		$120.90	$132.99	$163.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $126.27 / $210.18	Professional		$96.77	$126.27	$210.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $530.37 / $530.37	Facility		$179.96	$530.37	$530.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.18 / $661.18 / $854.40	Professional		$661.18	$661.18	$854.40
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 $95.24 / $130.40 / $193.44	Facility		$95.24	$130.40	$193.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $266.01	Professional		$92.85	$92.85	$266.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $350.66 / $350.66	Professional		$350.66	$350.66	$350.66
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $111.94 / $238.44	Professional		$84.04	$111.94	$238.44