Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $113.26 / $113.26	Facility		$98.74	$113.26	$113.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $93.08 / $115.34	Professional		$80.94	$93.08	$115.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.50 / $120.30 / $316.82	Facility		$99.50	$120.30	$316.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $120.86 / $264.33	Professional		$100.72	$120.86	$264.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $112.52 / $177.06	Professional		$83.27	$112.52	$177.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $130.97 / $160.74	Professional		$119.07	$130.97	$160.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $107.16 / $190.72	Professional		$81.73	$107.16	$190.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $529.32 / $529.32	Facility		$175.75	$529.32	$529.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $661.36 / $852.30	Professional		$661.36	$661.36	$852.30
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 $90.86 / $115.90 / $155.84	Facility		$90.86	$115.90	$155.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $177.85	Professional		$92.55	$92.55	$177.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $350.40 / $350.40	Professional		$350.40	$350.40	$350.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $122.00 / $398.43	Professional		$85.40	$122.00	$398.43