Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $42.66 / $425.64	Facility		$35.65	$42.66	$425.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $42.66 / $335.15	Professional		$31.52	$42.66	$335.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $66.97 / $176.37	Facility		$55.39	$66.97	$176.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $80.29 / $542.27	Professional		$47.56	$80.29	$542.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $40.47 / $100.00	Professional		$29.24	$40.47	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $88.32 / $223.78	Professional		$49.26	$88.32	$223.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $115.12 / $141.28	Professional		$104.65	$115.12	$141.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $105.67 / $193.73	Professional		$79.25	$105.67	$193.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $345.79 / $418.29	Facility		$146.51	$345.79	$418.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $503.43 / $503.43 / $644.92	Professional		$503.43	$503.43	$644.92
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 $44.92 / $96.73 / $140.90	Facility		$44.92	$96.73	$140.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $96.42 / $194.30	Professional		$51.95	$96.42	$194.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $207.97 / $207.97	Professional		$207.97	$207.97	$207.97
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $53.63 / $128.12	Professional		$31.44	$53.63	$128.12