Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $109.56 / $291.08	Facility		$22.45	$109.56	$291.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.44 / $486.11	Professional		$19.64	$25.44	$486.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $177.17 / $442.84	Facility		$81.03	$177.17	$442.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $30.24 / $78.62	Professional		$23.47	$30.24	$78.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $97.90 / $281.64	Facility		$55.00	$97.90	$281.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $19.47 / $90.16	Professional		$13.63	$19.47	$90.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $107.00 / $247.42	Facility		$49.14	$107.00	$247.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $46.97 / $131.34	Professional		$16.26	$46.97	$131.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $83.16 / $120.96	Professional		$75.59	$83.16	$120.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $83.16 / $147.00	Professional		$68.04	$83.16	$147.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $359.10 / $359.10	Facility		$120.96	$359.10	$359.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $567.00	Professional		$378.00	$378.00	$567.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $90.72	Professional		$45.36	$45.36	$90.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $75.59 / $168.60	Facility		$37.79	$75.59	$168.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $67.68 / $131.34	Professional		$16.91	$67.68	$131.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $265.35 / $265.35 / $265.35	Professional		$265.35	$265.35	$265.35
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $31.75 / $127.50	Professional		$12.57	$31.75	$127.50