Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $46.83 / $75.19	Professional		$35.40	$46.83	$75.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.71 / $23.42 / $37.60	Professional	52	$17.71	$23.42	$37.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Facility		$1.50	$1.50	$1.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $9.44 / $105.16	Professional		$5.61	$9.44	$105.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $66.30 / $149.58	Facility		$54.99	$66.30	$149.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $34.84 / $70.31	Professional		$25.83	$34.84	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $57.87 / $147.72	Professional		$35.56	$57.87	$147.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $46.70 / $56.04	Professional		$36.61	$46.70	$56.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $42.31 / $80.18	Professional		$27.50	$42.31	$80.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.86 / $160.60 / $160.60	Facility		$146.86	$160.60	$160.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $334.05 / $334.05	Professional		$195.21	$334.05	$334.05
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 $33.95 / $45.91 / $67.72	Facility		$33.95	$45.91	$67.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $58.41 / $138.41	Professional		$36.15	$58.41	$138.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $176.15 / $176.15	Professional		$176.15	$176.15	$176.15
United Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $42.93 / $42.93	Facility		$42.93	$42.93	$42.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $45.70 / $104.23	Professional		$31.73	$45.70	$104.23