Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $16.72 / $164.37	Facility		$15.27	$16.72	$164.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $21.83 / $164.37	Professional		$16.72	$21.83	$164.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $24.72 / $65.36	Facility		$20.52	$24.72	$65.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.53 / $52.98	Professional		$28.37	$28.53	$52.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $77.95 / $120.42	Facility		$59.99	$77.95	$120.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $100.00 / $176.06	Professional		$30.79	$100.00	$176.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $40.76 / $70.97	Facility		$28.53	$40.76	$70.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $66.00	Professional		$23.24	$23.24	$66.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $56.97 / $68.36	Professional		$45.58	$56.97	$68.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $39.88 / $88.30	Professional		$34.18	$39.88	$88.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $257.45 / $270.61	Facility		$115.65	$257.45	$270.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $367.11 / $375.93 / $427.28	Professional		$367.11	$375.93	$427.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $52.99 / $59.82	Facility		$15.59	$52.99	$59.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $51.78	Professional		$23.24	$23.24	$51.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $107.52 / $107.52	Professional		$107.52	$107.52	$107.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $25.68 / $79.89	Professional		$22.73	$25.68	$79.89