Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $102.73 / $296.20	Facility		$101.72	$102.73	$296.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $102.73 / $296.20	Professional		$101.72	$102.73	$296.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $116.88 / $197.74	Facility		$98.16	$116.88	$197.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $106.41 / $283.83	Professional		$100.72	$106.41	$283.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $101.72	Facility		$95.96	$95.96	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $146.59	Professional		$101.72	$101.72	$146.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $128.35 / $157.52	Professional		$116.68	$128.35	$157.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $127.15 / $223.78	Professional		$95.11	$127.15	$223.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $515.16 / $515.16	Facility		$229.98	$515.16	$515.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $515.16 / $515.16	Professional		$515.16	$515.16	$515.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $239.19 / $239.19	Professional		$239.19	$239.19	$239.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $111.89 / $172.97	Facility		$101.72	$111.89	$172.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $145.85	Professional		$101.72	$101.72	$145.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $203.04	Professional		$101.72	$101.72	$203.04