Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $43.04 / $261.64	Facility		$40.25	$43.04	$261.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $43.04 / $231.42	Professional		$38.22	$43.04	$231.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $36.64 / $96.51	Facility		$30.31	$36.64	$96.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.91 / $296.72	Professional		$31.60	$42.91	$296.72
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 $29.81 / $41.30 / $100.00	Professional		$29.81	$41.30	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $57.74 / $165.46	Professional		$38.15	$57.74	$165.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $53.12 / $65.19	Professional		$48.29	$53.12	$65.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $53.12 / $99.83	Professional		$39.18	$53.12	$99.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $189.21 / $209.24	Facility		$95.82	$189.21	$209.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $264.48 / $338.55	Professional		$264.48	$264.48	$338.55
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 $40.01 / $50.77 / $69.06	Facility		$40.01	$50.77	$69.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $57.84 / $111.41	Professional		$38.15	$57.84	$111.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $143.58 / $143.58	Professional		$143.58	$143.58	$143.58
United Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $45.32 / $45.32	Facility		$45.32	$45.32	$45.32
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $45.09 / $96.56	Professional		$33.47	$45.09	$96.56