Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $81.14 / $81.14	Facility		$71.67	$81.14	$81.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $67.75 / $84.05	Professional		$58.63	$67.75	$84.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $87.38 / $230.12	Facility		$72.27	$87.38	$230.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $87.79 / $198.59	Professional		$72.33	$87.79	$198.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $82.10 / $129.05	Professional		$60.45	$82.10	$129.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $91.26 / $112.00	Professional		$82.96	$91.26	$112.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $74.66 / $134.30	Professional		$57.56	$74.66	$134.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $368.27 / $368.27	Facility		$123.28	$368.27	$368.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $472.57 / $596.25	Professional		$472.57	$472.57	$596.25
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 $65.56 / $83.68 / $109.95	Facility		$65.56	$83.68	$109.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $119.04	Professional		$65.77	$65.77	$119.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
United Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $88.43 / $208.72	Professional		$61.88	$88.43	$208.72