Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $61.08 / $320.56	Facility		$61.08	$61.08	$320.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $61.08 / $320.56	Professional		$48.87	$61.08	$320.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $168.57 / $352.63	Facility		$46.38	$168.57	$352.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $61.08 / $105.88	Professional		$57.04	$61.08	$105.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.55 / $234.90	Facility		$95.50	$131.55	$234.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $147.40 / $343.36	Professional		$60.05	$147.40	$343.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $90.38 / $90.38	Facility		$88.26	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $93.09	Professional		$76.81	$76.81	$93.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $111.09 / $133.31	Professional		$88.87	$111.09	$133.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $77.76 / $172.19	Professional		$66.65	$77.76	$172.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.27 / $532.02 / $532.02	Facility		$191.27	$532.02	$532.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.15 / $573.15 / $833.18	Professional		$573.15	$573.15	$833.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $234.60 / $234.60	Professional		$234.60	$234.60	$234.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $98.23 / $114.44	Facility		$32.76	$98.23	$114.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $105.74	Professional		$76.81	$90.38	$105.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $209.70 / $209.70	Professional		$209.70	$209.70	$209.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $54.94 / $105.71	Professional		$47.76	$54.94	$105.71