Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $117.82 / $117.82	Facility		$117.82	$117.82	$117.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $132.81 / $468.00	Professional		$107.32	$132.81	$468.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.25 / $154.25 / $698.10	Facility		$154.25	$154.25	$698.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $162.32 / $373.29	Professional		$129.94	$162.32	$373.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $70.59 / $195.72	Professional		$58.50	$70.59	$195.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $158.04 / $193.95	Professional		$143.66	$158.04	$193.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $168.26 / $298.44	Professional		$127.13	$168.26	$298.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.94 / $242.77 / $659.65	Facility		$225.94	$242.77	$659.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $827.90 / $1,062.59	Professional		$827.90	$827.90	$1,062.59
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 $123.15 / $158.03 / $220.80	Facility		$123.15	$158.03	$220.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $331.23	Professional		$115.76	$115.76	$331.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $438.44 / $438.44 / $438.44	Professional		$438.44	$438.44	$438.44
United Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $142.18 / $325.91	Professional		$107.24	$142.18	$325.91