Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $83.30 / $235.47	Facility		$43.85	$83.30	$235.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $95.21	Professional		$32.50	$39.31	$95.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $88.33 / $312.00	Facility		$39.25	$88.33	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $72.73 / $154.90	Professional		$14.65	$72.73	$154.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $82.76 / $103.27	Facility		$26.48	$82.76	$103.27
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 $26.89 / $63.31 / $122.57	Facility		$26.89	$63.31	$122.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $31.62 / $99.40	Professional		$19.51	$31.62	$99.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $40.28 / $49.44	Professional		$36.61	$40.28	$49.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $42.11 / $82.99	Professional		$32.96	$42.11	$82.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $173.95 / $173.95	Facility		$63.72	$173.95	$173.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $183.10 / $274.64	Professional		$183.10	$183.10	$274.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $48.08 / $118.05	Facility		$31.13	$48.08	$118.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $42.11 / $74.84	Professional		$24.33	$42.11	$74.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $128.53 / $128.53	Professional		$128.53	$128.53	$128.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.53 / $88.18	Professional		$15.38	$15.53	$88.18