Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $186.75 / $186.75	Facility		$164.40	$186.75	$186.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $154.61 / $195.63	Professional		$135.55	$154.61	$195.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $202.69 / $533.80	Facility		$167.64	$202.69	$533.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $201.94 / $462.81	Professional		$167.03	$201.94	$462.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $188.13 / $295.72	Professional		$138.65	$188.13	$295.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $193.97 / $238.06	Professional		$176.34	$193.97	$238.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $158.71 / $286.72	Professional		$122.88	$158.71	$286.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $788.47 / $788.47	Facility		$280.38	$788.47	$788.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.55 / $1,105.55 / $1,277.03	Professional		$1,105.55	$1,105.55	$1,277.03
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 $144.74 / $186.02 / $240.75	Facility		$144.74	$186.02	$240.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $270.58	Professional		$141.06	$141.06	$270.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $589.91 / $589.91	Professional		$589.91	$589.91	$589.91
United Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $203.86 / $574.28	Professional		$144.19	$203.86	$574.28