Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $290.69 / $665.03	Facility		$67.98	$290.69	$665.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $64.41 / $349.45	Professional		$42.83	$64.41	$349.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $155.36 / $377.29	Facility		$70.56	$155.36	$377.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $50.74 / $148.35	Professional		$31.81	$50.74	$148.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $124.62 / $817.11	Facility		$59.30	$124.62	$817.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $57.03 / $105.47	Professional		$39.92	$57.03	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $84.58 / $215.63	Facility		$44.59	$84.58	$215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $78.13 / $114.45	Professional		$42.02	$78.13	$114.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $70.84 / $103.06	Professional		$64.41	$70.84	$103.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $64.41 / $140.41	Professional		$51.53	$64.41	$140.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $307.83 / $307.83	Facility		$135.00	$307.83	$307.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $32.20 / $32.20	Professional		$32.20	$32.20	$32.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $69.70 / $161.03	Facility		$51.53	$69.70	$161.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $64.41 / $128.82	Professional		$42.89	$64.41	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $226.07	Professional		$226.07	$226.07	$226.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $124.55	Professional		$27.05	$38.32	$124.55