Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $81.06 / $81.06	Facility		$70.48	$81.06	$81.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $66.48 / $82.00	Professional		$57.91	$66.48	$82.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $86.63 / $228.16	Facility		$71.65	$86.63	$228.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $87.03 / $190.31	Professional		$72.05	$87.03	$190.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $80.68 / $126.31	Professional		$59.45	$80.68	$126.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $93.90 / $115.24	Professional		$85.36	$93.90	$115.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $76.81 / $136.43	Professional		$58.47	$76.81	$136.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $378.53 / $378.53	Facility		$125.69	$378.53	$378.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.20 / $472.20 / $609.23	Professional		$472.20	$472.20	$609.23
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 $64.79 / $82.68 / $111.48	Facility		$64.79	$82.68	$111.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $119.04	Professional		$66.06	$66.06	$119.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $252.00	Professional		$252.00	$252.00	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $85.28 / $209.31	Professional		$61.32	$85.28	$209.31