Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $144.54 / $239.88	Facility		$48.98	$144.54	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $39.81	Professional		$21.88	$28.18	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $177.83	Facility		$45.71	$87.10	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $48.98	Professional		$19.05	$25.70	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $338.84	Facility		$52.48	$95.50	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $70.79	Professional		$20.42	$27.54	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $125.89	Facility		$23.99	$58.88	$125.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $47.86	Professional		$35.48	$41.69	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $61.66	Professional		$31.62	$38.90	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $263.03	Professional		$173.78	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $91.20	Facility		$27.54	$41.69	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $50.12	Professional		$35.48	$38.90	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $35.48 / $35.48	Facility		$14.79	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $67.61	Professional		$14.79	$14.79	$67.61