Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $34.77 / $876.63	Facility		$29.08	$34.77	$876.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $34.77 / $690.78	Professional		$25.76	$34.77	$690.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $122.29 / $322.07	Facility		$101.15	$122.29	$322.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $137.09 / $990.26	Professional		$94.86	$137.09	$990.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $97.90 / $9,276.48	Facility		$60.20	$97.90	$9,276.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $137.80 / $279.97	Professional		$100.00	$137.80	$279.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $182.87 / $426.63	Professional		$116.20	$182.87	$426.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $186.97 / $229.46	Professional		$169.97	$186.97	$229.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $171.74 / $318.62	Professional		$124.68	$171.74	$318.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $567.23 / $679.82	Facility		$237.96	$567.23	$679.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $828.33 / $828.33 / $1,050.59	Professional		$828.33	$828.33	$1,050.59
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 $36.64 / $157.24 / $228.99	Facility		$36.64	$157.24	$228.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $189.08 / $343.23	Professional		$116.20	$189.08	$343.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $428.61 / $428.61	Professional		$428.61	$428.61	$428.61
United Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $119.72 / $280.51	Professional		$89.25	$119.72	$280.51