Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $126.41 / $410.58	Facility		$46.61	$126.41	$410.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $46.61 / $52.82	Professional		$33.86	$46.61	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $156.59 / $368.75	Facility		$80.78	$156.59	$368.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.51 / $75.52	Professional		$38.90	$48.51	$75.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $566.10	Facility		$58.90	$100.00	$566.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $40.39 / $100.00	Professional		$28.27	$40.39	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $81.59 / $200.33	Facility		$42.23	$81.59	$200.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $75.58 / $94.48	Professional		$71.45	$75.58	$94.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $68.34 / $99.42	Professional		$62.14	$68.34	$99.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.14 / $108.75	Professional		$49.71	$62.14	$108.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $295.17 / $295.17	Facility		$99.42	$295.17	$295.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $62.14 / $138.66	Facility		$40.86	$62.14	$138.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $62.14 / $63.38	Professional		$47.85	$62.14	$63.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $95.07	Professional		$26.10	$26.10	$95.07