Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.43 / $101.25 / $524.67	Facility		$62.43	$101.25	$524.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $77.50 / $420.14	Professional		$52.27	$77.50	$420.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $157.60 / $382.74	Facility		$70.03	$157.60	$382.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $68.92 / $166.61	Professional		$26.14	$68.92	$166.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $100.00 / $184.26	Facility		$47.24	$100.00	$184.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $38.65 / $178.91	Professional		$27.06	$38.65	$178.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $112.97 / $218.72	Facility		$42.47	$112.97	$218.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $43.41 / $190.48	Professional		$32.33	$43.41	$190.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $71.87 / $88.21	Professional		$65.34	$71.87	$88.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $75.14 / $143.75	Professional		$58.81	$75.14	$143.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $310.37 / $310.37	Facility		$113.69	$310.37	$310.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $326.70 / $490.05	Professional		$326.70	$326.70	$490.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $78.41 / $78.41	Professional		$78.41	$78.41	$78.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $84.09 / $192.75	Facility		$52.27	$84.09	$192.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $75.14 / $134.13	Professional		$34.83	$75.14	$134.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.34 / $229.34 / $229.34	Professional		$229.34	$229.34	$229.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $27.44 / $129.82	Professional		$25.01	$27.44	$129.82