Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $86.27 / $86.27	Facility		$86.27	$86.27	$86.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $95.25 / $360.00	Professional		$75.34	$95.25	$360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $112.96 / $511.24	Facility		$112.96	$112.96	$511.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $119.08 / $273.35	Professional		$93.46	$119.08	$273.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $65.16 / $158.87	Professional		$54.00	$65.16	$158.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $110.34 / $135.41	Professional		$100.31	$110.34	$135.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $118.57 / $218.00	Professional		$89.39	$118.57	$218.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $171.25 / $466.35	Facility		$166.29	$171.25	$466.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.55 / $613.55 / $751.05	Professional		$613.55	$613.55	$751.05
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 $89.16 / $111.07 / $159.18	Facility		$89.16	$111.07	$159.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $242.94	Professional		$81.84	$81.84	$242.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $322.14 / $322.14	Professional		$322.14	$322.14	$322.14
United Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $105.27 / $239.15	Professional		$78.95	$105.27	$239.15