Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $178.49 / $367.92	Facility		$40.04	$178.49	$367.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $47.77 / $170.40	Professional		$37.31	$47.77	$170.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $75.00 / $189.00	Professional		$43.22	$75.00	$189.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $101.30 / $180.89	Facility		$80.91	$101.30	$180.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $43.49 / $84.36	Professional		$30.65	$43.49	$84.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $57.36 / $158.47	Professional		$37.35	$57.36	$158.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $85.02 / $106.28	Professional		$47.80	$85.02	$106.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $76.48 / $132.41	Professional		$50.00	$76.48	$132.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $316.37 / $359.43	Facility		$126.63	$316.37	$359.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $437.51 / $570.08	Professional		$88.86	$437.51	$570.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.00 / $97.94	Professional		$32.34	$70.00	$97.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $80.19 / $106.28	Facility		$42.45	$80.19	$106.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $60.54 / $158.47	Professional		$37.35	$60.54	$158.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $195.32 / $195.32	Professional		$195.32	$195.32	$195.32
United Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $60.27 / $132.91	Professional		$48.05	$60.27	$132.91