Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $66.48 / $252.76	Facility		$43.85	$66.48	$252.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $39.31 / $102.21	Professional		$31.45	$39.31	$102.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $94.82 / $312.00	Facility		$42.13	$94.82	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $60.73 / $143.82	Professional		$15.72	$60.73	$143.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $88.84 / $110.85	Facility		$28.42	$88.84	$110.85
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 $25.55 / $67.95 / $131.58	Facility		$25.55	$67.95	$131.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $33.79 / $106.22	Professional		$21.00	$33.79	$106.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $43.24 / $53.07	Professional		$39.31	$43.24	$53.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $45.21 / $86.48	Professional		$35.38	$45.21	$86.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $186.72 / $186.72	Facility		$68.40	$186.72	$186.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $196.55 / $294.83	Professional		$196.55	$196.55	$294.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $51.61 / $115.96	Facility		$31.45	$51.61	$115.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.21 / $80.78	Professional		$26.00	$45.21	$80.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $137.97 / $137.97	Professional		$137.97	$137.97	$137.97
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $78.09	Professional		$16.51	$16.51	$78.09