Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $501.19	Professional		$87.10	$117.49	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $158.49	Professional		$53.70	$138.04	$158.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $537.03	Professional		$158.49	$371.54	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $181.97	Professional		$144.54	$158.49	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $144.54	Professional		$85.11	$131.83	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $269.15	Facility		$93.33	$144.54	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $125.89	Professional		$54.95	$67.61	$125.89