Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $31.63 / $109.46	Facility		$29.06	$31.63	$109.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $22.50 / $38.70	Professional		$17.75	$22.50	$38.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $293.00 / $876.00	Facility		$31.10	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $37.65 / $70.70	Professional		$22.27	$37.65	$70.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $64.18 / $317.43	Facility		$29.50	$64.18	$317.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $33.72 / $73.56	Professional		$23.71	$33.72	$73.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $600.20 / $2,015.72	Facility		$21.32	$600.20	$2,015.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $34.75 / $62.05	Professional		$21.03	$34.75	$62.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $21.90 / $26.88	Professional		$19.91	$21.90	$26.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $19.91 / $44.80	Professional		$16.38	$19.91	$44.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $80.00 / $200.00	Facility		$43.51	$80.00	$200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $32.34 / $32.34	Professional		$30.14	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $22.49 / $38.70	Facility		$17.88	$22.49	$38.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $36.15 / $54.79	Professional		$21.95	$36.15	$54.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $62.39 / $62.39	Professional		$62.39	$62.39	$62.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $26.63 / $47.85	Professional		$15.40	$26.63	$47.85