Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $181.97 / $707.95	Facility		$23.99	$181.97	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $446.68	Professional		$44.67	$67.61	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $371.54	Facility		$34.67	$169.82	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $144.54	Professional		$57.54	$66.07	$144.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $165.96 / $208.93	Facility		$52.48	$165.96	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $181.97	Professional		$48.98	$66.07	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $263.03	Facility		$52.48	$128.82	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $218.78	Professional		$39.81	$50.12	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $100.00	Professional		$74.13	$81.28	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $141.25	Professional		$66.07	$81.28	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $549.54	Professional		$363.08	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $218.78	Facility		$56.23	$87.10	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $208.93	Professional		$39.81	$74.13	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $74.13 / $74.13	Facility		$30.90	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $141.25	Professional		$30.90	$34.67	$141.25