Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $61.17 / $395.57	Facility		$61.17	$61.17	$395.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $61.17 / $395.57	Professional		$49.22	$61.17	$395.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $148.38 / $360.37	Facility		$65.94	$148.38	$360.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $25.84 / $82.44	Professional		$24.11	$25.84	$82.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $100.00 / $173.49	Facility		$44.48	$100.00	$173.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $62.80 / $157.87	Professional		$43.96	$62.80	$157.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $106.37 / $205.95	Facility		$43.21	$106.37	$205.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $53.01 / $166.64	Professional		$32.70	$53.01	$166.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $67.67 / $83.05	Professional		$61.52	$67.67	$83.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $70.75 / $135.34	Professional		$55.37	$70.75	$135.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $292.22 / $292.22	Facility		$107.04	$292.22	$292.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $307.60 / $461.40	Professional		$307.60	$307.60	$461.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $79.18 / $176.80	Facility		$49.83	$79.18	$176.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $69.77 / $123.04	Professional		$40.81	$69.77	$123.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $215.93 / $215.93	Professional		$215.93	$215.93	$215.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $27.79 / $136.41	Professional		$25.84	$27.79	$136.41