Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $46.27 / $344.27	Facility		$31.85	$46.27	$344.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $46.27 / $78.36	Professional		$32.46	$46.27	$78.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $293.00 / $876.00	Facility		$28.17	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $45.35 / $91.94	Professional		$30.80	$45.35	$91.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $66.97 / $133.66	Facility		$30.66	$66.97	$133.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.72 / $100.00	Professional		$29.20	$41.72	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $48.24 / $141.82	Facility		$43.60	$48.24	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $56.52 / $130.16	Professional		$36.09	$56.52	$130.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $55.20 / $96.61	Professional		$39.43	$55.20	$96.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $59.74 / $105.57	Professional		$35.49	$59.74	$105.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $358.41 / $379.22	Facility		$176.56	$358.41	$379.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $514.16 / $514.16	Professional		$514.16	$514.16	$514.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.88	Professional		$32.34	$32.34	$83.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $53.48 / $86.69	Facility		$35.38	$53.48	$86.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $69.87 / $141.10	Professional		$37.90	$69.87	$141.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $118.05 / $184.17	Professional		$118.05	$118.05	$184.17
United Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $68.14 / $68.14	Facility		$68.14	$68.14	$68.14
United Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $58.98 / $167.94	Professional		$40.67	$58.98	$167.94