Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $40.31 / $233.81	Facility		$35.04	$40.31	$233.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $40.27 / $166.36	Professional		$28.82	$40.27	$166.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $57.47 / $151.36	Facility		$47.53	$57.47	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $62.07 / $115.96	Professional		$43.47	$62.07	$115.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $45.59 / $106.26	Professional		$37.95	$45.59	$106.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $50.88	Professional		$38.69	$38.69	$50.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $64.69	Professional		$47.92	$47.92	$64.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $53.34 / $89.44	Professional		$40.25	$53.34	$89.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $216.42 / $216.42	Facility		$82.32	$216.42	$216.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $260.01 / $350.40	Professional		$258.98	$260.01	$350.40
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 $36.79 / $51.70 / $73.56	Facility		$36.79	$51.70	$73.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $41.38 / $106.60	Professional		$38.69	$41.38	$106.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $134.30 / $134.30	Professional		$134.30	$134.30	$134.30
United Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $47.92 / $137.75	Professional		$34.07	$47.92	$137.75