Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $257.04 / $426.58	Facility		$87.10	$257.04	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $61.66	Professional		$40.74	$50.12	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $316.23	Facility		$81.28	$154.88	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $89.13	Professional		$45.71	$48.98	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $602.56	Facility		$60.26	$144.54	$602.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $144.54	Professional		$36.31	$48.98	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $100.00 / $208.93	Facility		$41.69	$100.00	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $95.50	Professional		$44.67	$75.86	$95.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $100.00	Professional		$61.66	$67.61	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $109.65	Professional		$50.12	$61.66	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $158.49	Facility		$41.69	$70.79	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $61.66	Professional		$44.67	$61.66	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.88 / $61.66	Facility		$26.30	$33.88	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $109.65	Professional		$26.30	$28.18	$109.65