Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $182.25 / $540.41	Facility		$45.32	$182.25	$540.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $62.81 / $379.00	Professional		$45.32	$62.81	$379.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $173.06 / $429.78	Facility		$78.64	$173.06	$429.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $60.73 / $148.72	Professional		$30.18	$60.73	$148.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.05 / $100.00 / $206.90	Facility		$53.05	$100.00	$206.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $54.11 / $151.74	Professional		$37.88	$54.11	$151.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $126.86 / $245.60	Facility		$53.89	$126.86	$245.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $53.50 / $219.78	Professional		$39.20	$53.50	$219.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $80.70 / $99.05	Professional		$73.37	$80.70	$99.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $84.38 / $166.27	Professional		$66.03	$84.38	$166.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $348.51 / $348.51	Facility		$127.66	$348.51	$348.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $366.85 / $550.28	Professional		$366.85	$366.85	$550.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Professional		$88.05	$88.05	$88.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $88.04 / $210.87	Facility		$58.36	$88.04	$210.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $84.38 / $187.74	Professional		$45.31	$84.38	$187.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $257.52 / $257.52	Professional		$257.52	$257.52	$257.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $35.02 / $197.05	Professional		$30.82	$35.02	$197.05