Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $72.78 / $200.01	Facility		$20.89	$72.78	$200.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $20.89 / $23.67	Professional		$15.18	$20.89	$23.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $63.28 / $312.00	Facility		$32.92	$63.28	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $37.42 / $63.91	Professional		$26.09	$37.42	$63.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.82 / $87.40 / $252.60	Facility		$47.82	$87.40	$252.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $16.32 / $43.21	Professional		$11.42	$16.32	$43.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $41.94 / $84.05	Facility		$18.44	$41.94	$84.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $27.61 / $33.89	Professional		$25.10	$27.61	$33.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $31.38 / $55.22	Professional		$22.59	$31.38	$55.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $119.23 / $119.23	Facility		$43.67	$119.23	$119.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $188.25	Professional		$125.50	$125.50	$188.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $30.12 / $51.35	Facility		$21.54	$30.12	$51.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $30.12 / $36.40	Professional		$25.10	$30.12	$36.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.70 / $37.96	Professional		$10.54	$11.70	$37.96