Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $167.52 / $343.07	Facility		$39.64	$167.52	$343.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $39.64 / $225.63	Professional		$26.36	$39.64	$225.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $39.68 / $97.17	Professional		$17.32	$39.68	$97.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $98.10 / $433.18	Facility		$56.30	$98.10	$433.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $119.42	Professional		$21.75	$31.07	$119.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $60.67 / $122.17	Facility		$25.78	$60.67	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $38.96 / $146.63	Professional		$22.92	$38.96	$146.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $47.37	Professional		$35.09	$38.60	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $41.41 / $77.20	Professional		$31.58	$41.41	$77.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $166.68 / $166.68	Facility		$61.26	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $45.62 / $103.63	Facility		$32.61	$45.62	$103.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $42.11 / $107.97	Professional		$24.60	$42.11	$107.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $78.01	Professional		$14.74	$20.05	$78.01