Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $131.93 / $131.93	Facility		$116.70	$131.93	$131.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $112.67 / $138.52	Professional		$95.22	$112.67	$138.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $143.72 / $378.51	Facility		$118.87	$143.72	$378.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $144.38 / $326.08	Professional		$119.30	$144.38	$326.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $133.81 / $210.23	Professional		$98.42	$133.81	$210.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $148.31 / $182.02	Professional		$134.83	$148.31	$182.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $121.35 / $218.80	Professional		$93.77	$121.35	$218.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $601.19 / $601.19	Facility		$201.04	$601.19	$601.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $768.84 / $973.43	Professional		$768.84	$768.84	$973.43
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 $106.53 / $136.21 / $179.84	Facility		$106.53	$136.21	$179.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $206.19	Professional		$107.43	$107.43	$206.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.46 / $416.46 / $416.46	Professional		$416.46	$416.46	$416.46
United Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $145.19 / $351.55	Professional		$101.64	$145.19	$351.55