Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $69.61 / $415.58	Facility		$59.73	$69.61	$415.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $69.61 / $183.89	Professional		$47.83	$69.61	$183.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $78.17 / $205.87	Facility		$64.65	$78.17	$205.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $88.35 / $220.95	Professional		$67.41	$88.35	$220.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $77.59 / $183.92	Professional		$63.31	$77.59	$183.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $83.08	Professional		$64.28	$64.28	$83.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $80.17 / $108.23	Professional		$80.17	$80.17	$108.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $88.84 / $148.94	Professional		$67.02	$88.84	$148.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $368.27 / $368.27	Facility		$121.06	$368.27	$368.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $605.91 / $605.91	Professional		$605.91	$605.91	$605.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.28	Professional		$32.34	$32.34	$103.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $87.61 / $122.88	Facility		$62.92	$87.61	$122.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $181.28	Professional		$64.28	$64.28	$181.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $232.61 / $232.61	Professional		$232.61	$232.61	$232.61
United Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $77.14 / $229.17	Professional		$56.84	$77.14	$229.17