Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $107.15	Professional		$39.81	$81.28	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $131.83	Professional		$47.86	$87.10	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $398.11	Professional		$117.49	$275.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $117.49	Professional		$64.57	$66.07	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Professional		$97.72	$97.72	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $977.24	Professional		$645.65	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $131.83	Facility		$56.23	$107.15	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Professional		$47.86	$47.86	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $97.72	Professional		$43.65	$48.98	$97.72