Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $522.23	Facility		$66.48	$66.48	$522.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $66.48 / $280.67	Professional		$34.92	$66.48	$280.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $105.28 / $312.00	Facility		$46.78	$105.28	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $83.15 / $187.69	Professional		$21.56	$83.15	$187.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $97.34 / $123.09	Facility		$31.56	$97.34	$123.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $38.65 / $135.15	Professional		$27.06	$38.65	$135.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $75.45 / $151.94	Facility		$32.06	$75.45	$151.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $35.77 / $156.99	Professional		$24.19	$35.77	$156.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.02 / $58.93	Professional		$43.65	$48.02	$58.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $50.20 / $98.92	Professional		$39.29	$50.20	$98.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $207.34 / $207.34	Facility		$75.95	$207.34	$207.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $218.25 / $327.38	Professional		$218.25	$218.25	$327.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $52.38 / $52.38	Professional		$52.38	$52.38	$52.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $57.31 / $140.68	Facility		$40.57	$57.31	$140.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $51.41 / $119.52	Professional		$28.98	$51.41	$119.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.21 / $153.21 / $153.21	Professional		$153.21	$153.21	$153.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $25.01 / $116.78	Professional		$18.32	$25.01	$116.78