Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $200.95 / $303.82	Facility		$55.96	$200.95	$303.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $200.95	Professional		$32.50	$39.31	$200.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.22 / $113.97 / $312.00	Facility		$58.22	$113.97	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $168.03 / $338.44	Professional		$50.39	$168.03	$338.44
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 / $103.95	Professional		$42.53	$54.34	$103.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $417.95 / $417.95	Facility		$82.22	$417.95	$417.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $354.38	Professional		$236.25	$236.25	$354.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $62.03 / $200.95	Facility		$43.92	$62.03	$200.95
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 Professional Modifier Low / Median / High Price $19.85 / $19.85 / $93.88	Professional		$19.85	$19.85	$93.88