Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $30.41 / $224.70	Facility		$15.98	$30.41	$224.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $28.31 / $51.37	Professional		$15.94	$28.31	$51.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $293.00 / $876.00	Facility		$15.22	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $26.99 / $54.85	Professional		$15.92	$26.99	$54.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.03 / $141.87	Facility		$18.89	$47.03	$141.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $27.87 / $60.84	Professional		$15.22	$27.87	$60.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $138.65 / $230.04	Facility		$94.34	$138.65	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $34.07 / $81.88	Professional		$17.98	$34.07	$81.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $27.36 / $67.27	Professional		$19.54	$27.36	$67.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $37.11 / $68.56	Professional		$17.59	$37.11	$68.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $251.37 / $335.18	Professional		$251.37	$251.37	$335.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.31	Professional		$32.34	$32.34	$54.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $31.02 / $59.80	Facility		$17.48	$31.02	$59.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $40.42 / $91.14	Professional		$18.48	$40.42	$91.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $57.02 / $117.13	Professional		$57.02	$57.02	$117.13
United Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Facility		$44.79	$44.79	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $36.36 / $100.81	Professional		$26.11	$36.36	$100.81