Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $112.20 / $186.21	Facility		$38.02	$112.20	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $26.92	Professional		$18.20	$21.88	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $138.04	Facility		$35.48	$67.61	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $75.86	Professional		$23.44	$45.71	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $263.03	Facility		$47.86	$85.11	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $69.18	Professional		$15.85	$21.38	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $43.65 / $91.20	Facility		$18.20	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $41.69	Professional		$19.50	$33.11	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $100.00	Professional		$26.92	$29.51	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $47.86	Professional		$21.88	$26.92	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
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 $18.20 / $30.90 / $69.18	Facility		$18.20	$30.90	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $26.92	Professional		$19.50	$26.92	$26.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.79 / $26.92	Facility		$11.48	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.30 / $47.86	Professional		$11.48	$12.30	$47.86