Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $77.56 / $315.83	Facility		$18.00	$77.56	$315.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $26.80 / $81.73	Professional		$14.40	$26.80	$81.73
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 $5.34 / $30.52 / $117.38	Professional		$5.34	$30.52	$117.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $87.40 / $169.46	Facility		$47.05	$87.40	$169.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $33.22 / $64.73	Professional		$23.63	$33.22	$64.73
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 $27.56 / $61.58 / $116.06	Professional		$27.56	$61.58	$116.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $59.51 / $80.34	Professional		$59.51	$59.51	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $52.22 / $91.39	Professional		$43.96	$52.22	$91.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.46 / $214.95 / $248.05	Facility		$96.46	$214.95	$248.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $309.81 / $390.60	Professional		$309.81	$309.81	$390.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $66.16	Professional		$32.34	$32.34	$66.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $53.76 / $72.25	Facility		$27.66	$53.76	$72.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $63.74 / $116.06	Professional		$29.38	$63.74	$116.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.68 / $164.68 / $164.68	Professional		$164.68	$164.68	$164.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $50.53 / $116.76	Professional		$30.53	$50.53	$116.76