Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $83.30 / $299.64	Facility		$63.84	$83.30	$299.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $83.30 / $299.64	Professional		$37.28	$83.30	$299.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $112.40 / $312.00	Facility		$49.95	$112.40	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $22.40 / $201.17	Professional		$21.14	$22.40	$201.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $100.00 / $131.41	Facility		$33.69	$100.00	$131.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $72.33 / $180.86	Professional		$50.63	$72.33	$180.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $90.14 / $252.60	Facility		$34.22	$90.14	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $40.72 / $128.06	Professional		$24.90	$40.72	$128.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $51.26 / $62.91	Professional		$46.60	$51.26	$62.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $53.59 / $102.52	Professional		$41.94	$53.59	$102.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.08 / $221.35 / $221.35	Facility		$81.08	$221.35	$221.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $349.50	Professional		$233.00	$233.00	$349.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Professional		$46.60	$46.60	$46.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $63.84 / $156.97	Facility		$43.31	$63.84	$156.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $53.59 / $93.20	Professional		$31.07	$53.59	$93.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $163.56 / $163.56	Professional		$163.56	$163.56	$163.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $22.20 / $114.52	Professional		$19.57	$22.20	$114.52