Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $151.18 / $313.33	Facility		$69.73	$151.18	$313.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $70.43 / $309.20	Professional		$69.73	$70.43	$309.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $83.19 / $100.41	Facility		$71.12	$83.19	$100.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $82.37 / $181.06	Professional		$69.73	$82.37	$181.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $95.60 / $112.50	Facility		$75.70	$95.60	$112.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $107.36	Professional		$71.04	$71.04	$107.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $65.78 / $95.63	Facility		$65.78	$65.78	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $101.25	Professional		$69.73	$69.73	$101.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $79.39 / $87.32	Professional		$63.51	$79.39	$87.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $80.19 / $186.18	Professional		$62.76	$80.19	$186.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $350.53 / $350.53	Facility		$200.27	$350.53	$350.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $98.52	Facility		$65.78	$69.73	$98.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.20 / $150.83	Professional		$69.73	$73.20	$150.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $212.86 / $212.86	Professional		$212.86	$212.86	$212.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $143.32	Professional		$69.73	$69.73	$143.32