Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $56.80 / $56.80	Facility		$49.95	$56.80	$56.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $46.96 / $59.29	Professional		$40.94	$46.96	$59.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $61.48 / $161.91	Facility		$50.85	$61.48	$161.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $61.75 / $139.51	Professional		$50.73	$61.75	$139.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $57.12 / $91.94	Professional		$42.13	$57.12	$91.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $61.45 / $75.41	Professional		$55.86	$61.45	$75.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $50.27 / $90.20	Professional		$38.65	$50.27	$90.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $246.06 / $246.06	Facility		$84.12	$246.06	$246.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $332.57 / $332.57 / $398.63	Professional		$332.57	$332.57	$398.63
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 $44.34 / $57.44 / $75.45	Facility		$44.34	$57.44	$75.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $83.65	Professional		$44.04	$44.04	$83.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $177.28 / $177.28	Professional		$177.28	$177.28	$177.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $61.31 / $146.22	Professional		$42.86	$61.31	$146.22