Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $389.05 / $1,584.89	Facility		$22.91	$389.05	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $64.57 / $213.80	Professional		$22.91	$64.57	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $131.83	Facility		$41.69	$52.48	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $223.87	Professional		$41.69	$67.61	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $74.13 / $154.88	Professional		$23.99	$74.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $70.79 / $141.25	Professional		$25.12	$70.79	$141.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $69.18 / $102.33	Professional		$23.44	$69.18	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $60.26 / $112.20	Professional		$20.89	$60.26	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $478.63 / $478.63	Facility		$186.21	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $83.18	Professional		$50.12	$50.12	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $123.03	Facility		$23.99	$60.26	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $72.44 / $144.54	Professional		$25.12	$72.44	$144.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $245.47	Professional		$75.86	$75.86	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $58.88 / $131.83	Professional		$21.38	$58.88	$131.83