Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $342.00 / $684.00	Facility		$100.09	$342.00	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $75.23 / $630.85	Professional		$57.68	$75.23	$630.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $222.78 / $500.21	Facility		$107.50	$222.78	$500.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $52.34 / $141.88	Professional		$39.24	$52.34	$141.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $124.62 / $823.01	Facility		$59.90	$124.62	$823.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $57.03 / $109.70	Professional		$39.92	$57.03	$109.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $138.13 / $321.08	Facility		$63.77	$138.13	$321.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $112.75 / $149.71	Professional		$47.99	$112.75	$149.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $99.00 / $156.97	Professional		$98.11	$99.00	$156.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $98.11 / $218.84	Professional		$78.48	$98.11	$218.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $466.02 / $466.02	Facility		$156.97	$466.02	$466.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $58.86 / $58.86	Professional		$58.86	$58.86	$58.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $97.80 / $234.05	Facility		$49.06	$97.80	$234.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $88.54 / $117.73	Professional		$49.52	$88.54	$117.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $344.36 / $344.36 / $344.36	Professional		$344.36	$344.36	$344.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $41.21 / $165.46	Professional		$38.07	$41.21	$165.46