Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $448.78	Facility		$85.50	$85.50	$448.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $85.50 / $140.29	Professional		$70.73	$85.50	$140.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $235.95 / $493.76	Facility		$64.92	$235.95	$493.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $86.70 / $148.21	Professional		$77.75	$86.70	$148.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $184.14 / $328.82	Facility		$95.50	$184.14	$328.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $206.38 / $480.73	Professional		$84.06	$206.38	$480.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $123.57	Facility		$88.96	$88.96	$123.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $91.63	Professional		$64.94	$64.94	$91.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $155.55 / $186.66	Professional		$124.44	$155.55	$186.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $108.89 / $241.10	Professional		$93.33	$108.89	$241.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.74 / $742.11 / $742.11	Facility		$267.74	$742.11	$742.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.33 / $802.33 / $1,166.63	Professional		$802.33	$802.33	$1,166.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $328.38 / $328.38	Professional		$328.38	$328.38	$328.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $140.53 / $163.33	Facility		$45.85	$140.53	$163.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $148.05	Professional		$64.94	$88.96	$148.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $293.57 / $293.57	Professional		$293.57	$293.57	$293.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $71.02 / $147.77	Professional		$64.48	$71.02	$147.77