Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $61.67 / $67.20	Facility		$57.61	$61.67	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $57.85 / $77.29	Professional		$48.80	$57.85	$77.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $73.81 / $83.29	Facility		$63.61	$73.81	$83.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $76.59 / $149.34	Professional		$60.91	$76.59	$149.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $70.88 / $163.93	Professional		$50.36	$70.88	$163.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $72.15 / $96.61	Professional		$65.59	$72.15	$96.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $74.81 / $119.64	Professional		$57.67	$74.81	$119.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $293.80 / $293.80	Facility		$110.39	$293.80	$293.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $403.56 / $511.43	Professional		$377.52	$403.56	$511.43
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 $57.39 / $74.69 / $104.72	Facility		$57.39	$74.69	$104.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $160.18	Professional		$55.95	$55.95	$160.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.30 / $198.30 / $211.52	Professional		$198.30	$198.30	$211.52
United Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $67.89 / $154.80	Professional		$50.67	$67.89	$154.80