Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $113.32 / $113.32	Facility		$100.01	$113.32	$113.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $100.87 / $133.47	Professional		$88.49	$100.87	$133.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $134.21 / $353.47	Facility		$111.01	$134.21	$353.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $128.47 / $246.97	Professional		$107.92	$128.47	$246.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $118.67 / $188.26	Professional		$100.00	$118.67	$188.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $145.80	Professional		$141.06	$141.06	$145.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $188.36 / $244.87	Professional		$136.03	$188.36	$244.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $148.38 / $262.63	Professional		$106.43	$148.38	$262.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $617.20 / $617.20 / $617.20	Facility		$617.20	$617.20	$617.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.22 / $882.23 / $1,314.08	Professional		$680.22	$882.23	$1,314.08
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 $100.19 / $147.25 / $208.81	Facility		$100.19	$147.25	$208.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $141.06 / $211.05	Professional		$124.79	$141.06	$211.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $359.75 / $359.75	Professional		$359.75	$359.75	$359.75
United Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $126.46 / $304.05	Professional		$88.20	$126.46	$304.05