Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $25.91 / $241.55	Facility		$25.91	$25.91	$241.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $36.53 / $241.55	Professional		$25.91	$36.53	$241.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $35.07 / $59.33	Facility		$29.45	$35.07	$59.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $49.21 / $93.91	Professional		$30.22	$49.21	$93.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $100.00 / $192.64	Professional		$65.09	$100.00	$192.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $92.09 / $113.02	Professional		$83.72	$92.09	$113.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $104.65 / $192.56	Professional		$64.00	$104.65	$192.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.65 / $391.81 / $397.67	Facility		$140.65	$391.81	$397.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $544.17 / $565.94 / $627.90	Professional		$544.17	$565.94	$627.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $83.72 / $145.68	Facility		$66.93	$83.72	$145.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $88.63	Professional		$34.15	$34.15	$88.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $158.01 / $158.01	Professional		$158.01	$158.01	$158.01
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $36.26 / $120.93	Professional		$33.79	$36.26	$120.93