Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $51.02 / $51.02	Facility		$41.95	$51.02	$51.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $39.68 / $53.51	Professional		$32.44	$39.68	$53.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $56.92 / $149.91	Facility		$47.08	$56.92	$149.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $53.86 / $108.18	Professional		$42.39	$53.86	$108.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $49.65 / $80.95	Professional		$37.01	$49.65	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $43.08	Professional		$42.56	$42.56	$43.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $69.04 / $84.73	Professional		$62.76	$69.04	$84.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $54.89 / $94.24	Professional		$40.39	$54.89	$94.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $252.67 / $255.79	Facility		$87.86	$252.67	$255.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $290.08 / $403.65	Professional		$290.08	$290.08	$403.65
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 $36.77 / $52.48 / $76.06	Facility		$36.77	$52.48	$76.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $72.98	Professional		$42.56	$42.56	$72.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $145.85 / $145.85	Professional		$145.85	$145.85	$145.85
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $50.43 / $124.72	Professional		$35.51	$50.43	$124.72