Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $91.79 / $274.50	Facility		$14.40	$91.79	$274.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $21.23 / $57.60	Professional		$14.40	$21.23	$57.60
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 $3.22 / $24.07 / $93.26	Professional		$3.22	$24.07	$93.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $73.43 / $115.08	Facility		$38.29	$73.43	$115.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $30.85 / $55.31	Professional		$22.04	$30.85	$55.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $85.00	Facility		$72.00	$72.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $37.84 / $113.94	Professional		$21.95	$37.84	$113.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $38.15 / $51.50	Professional		$38.15	$38.15	$51.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $34.18 / $59.80	Professional		$29.04	$34.18	$59.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.82 / $162.31	Facility		$80.00	$143.82	$162.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $201.41 / $258.14	Professional		$201.41	$201.41	$258.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.67 / $70.00	Professional		$32.34	$44.67	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $35.40 / $47.69	Facility		$20.72	$35.40	$47.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $42.19 / $111.17	Professional		$21.95	$42.19	$111.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $109.48 / $109.48	Professional		$109.48	$109.48	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $33.92 / $74.17	Professional		$24.36	$33.92	$74.17