Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $25.12 / $34.51	Facility		$23.39	$25.12	$34.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $30.30 / $51.78	Professional		$22.65	$30.30	$51.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $32.32 / $32.32	Facility		$30.06	$32.32	$32.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $33.79 / $70.18	Professional		$22.06	$33.79	$70.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $80.81 / $80.81	Facility		$53.33	$80.81	$80.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $34.40 / $54.92	Professional		$25.10	$34.40	$54.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $38.86 / $97.72	Professional		$25.65	$38.86	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $38.22 / $49.69	Professional		$26.29	$38.22	$49.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $29.25 / $46.34	Professional		$20.98	$29.25	$46.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $116.23 / $116.23	Facility		$107.50	$116.23	$116.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $192.15 / $265.73	Professional		$150.27	$192.15	$265.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $31.52 / $44.21	Facility		$23.33	$31.52	$44.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $42.58 / $84.46	Professional		$26.78	$42.58	$84.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $79.97 / $106.42	Professional		$79.97	$79.97	$106.42
United Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Facility		$36.75	$36.75	$36.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $36.52 / $118.89	Professional		$25.76	$36.52	$118.89