Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $30.97 / $212.75	Facility		$30.97	$30.97	$212.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $43.26 / $212.75	Professional		$30.97	$43.26	$212.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $30.87 / $52.22	Facility		$25.92	$30.87	$52.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $43.80 / $89.30	Professional		$26.60	$43.80	$89.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $94.95 / $169.52	Professional		$57.29	$94.95	$169.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $81.09 / $99.54	Professional		$73.73	$81.09	$99.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $92.16 / $169.58	Professional		$44.24	$92.16	$169.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $345.06 / $350.22	Facility		$123.87	$345.06	$350.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $648.41 / $674.35	Professional		$552.98	$648.41	$674.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.94 / $73.73 / $154.18	Facility		$70.94	$73.73	$154.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $78.05	Professional		$30.08	$30.08	$78.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $139.16 / $139.16	Professional		$139.16	$139.16	$139.16
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $31.91 / $95.57	Professional		$29.75	$31.91	$95.57