Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $150.52 / $303.82	Facility		$55.96	$150.52	$303.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $150.52	Professional		$32.50	$39.31	$150.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $113.97 / $312.00	Facility		$50.64	$113.97	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $156.30 / $314.82	Professional		$18.89	$156.30	$314.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $100.00 / $133.25	Facility		$34.15	$100.00	$133.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $72.30 / $180.79	Professional		$50.61	$72.30	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $81.69 / $158.16	Facility		$34.70	$81.69	$158.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $40.61 / $127.66	Professional		$25.08	$40.61	$127.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $51.98 / $63.79	Professional		$47.25	$51.98	$63.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $54.34 / $107.08	Professional		$42.53	$54.34	$107.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $276.58 / $276.58	Facility		$82.22	$276.58	$276.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $354.38	Professional		$236.25	$236.25	$354.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $62.03 / $159.55	Facility		$42.75	$62.03	$159.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $54.34 / $97.08	Professional		$31.24	$54.34	$97.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $165.84 / $165.84	Professional		$165.84	$165.84	$165.84
United Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $47.25 / $47.25	Facility		$19.85	$47.25	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.34 / $94.83	Professional		$19.85	$21.34	$94.83