Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $67.61	Facility		$61.66	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $77.62	Professional		$47.86	$57.54	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $87.10	Facility		$63.10	$79.43	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $131.83	Professional		$61.66	$77.62	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $158.49	Professional		$63.10	$81.28	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $100.00	Professional		$57.54	$77.62	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $112.20	Professional		$48.98	$67.61	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $109.65	Facility		$51.29	$69.18	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $158.49	Professional		$60.26	$60.26	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $213.80	Professional		$199.53	$199.53	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $117.49	Professional		$48.98	$67.61	$117.49