Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $567.13	Facility		$49.68	$49.68	$567.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $49.68 / $567.13	Professional		$49.68	$49.68	$567.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.53 / $203.00 / $478.00	Facility		$94.53	$203.00	$478.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $82.56 / $202.19	Professional		$35.28	$82.56	$202.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $109.02 / $248.72	Facility		$63.77	$109.02	$248.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $64.06 / $161.04	Professional		$44.84	$64.06	$161.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $152.50 / $295.25	Facility		$56.76	$152.50	$295.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $75.95 / $238.75	Professional		$47.01	$75.95	$238.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $97.02 / $119.07	Professional		$88.20	$97.02	$119.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $101.43 / $194.04	Professional		$79.38	$101.43	$194.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $418.95 / $418.95	Facility		$153.47	$418.95	$418.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $661.50	Professional		$441.00	$441.00	$661.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Professional		$105.84	$105.84	$105.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $105.84 / $253.46	Facility		$57.33	$105.84	$253.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $101.43 / $176.40	Professional		$58.43	$101.43	$176.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $40.13 / $194.75	Professional		$37.04	$40.13	$194.75