Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $91.67 / $252.06	Facility		$26.32	$91.67	$252.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $29.12 / $29.83	Professional		$19.12	$29.12	$29.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $88.43 / $312.00	Facility		$45.62	$88.43	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.92 / $43.16	Professional		$19.10	$22.92	$43.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $90.88 / $316.86	Facility		$51.93	$90.88	$316.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $22.81 / $68.72	Professional		$15.97	$22.81	$68.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $58.85 / $117.47	Facility		$23.85	$58.85	$117.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $56.14	Professional		$35.09	$42.11	$56.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $77.20	Professional		$31.58	$40.35	$77.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $166.68 / $166.68	Facility		$61.06	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $42.11 / $93.11	Facility		$28.07	$42.11	$93.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $52.64	Professional		$35.09	$38.60	$52.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
United Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $35.09 / $35.09	Facility		$14.74	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $70.43	Professional		$14.74	$14.74	$70.43