Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $18.45 / $156.01	Facility		$16.84	$18.45	$156.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.21 / $46.32	Professional		$17.52	$21.21	$46.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $70.92 / $177.74	Facility		$30.75	$70.92	$177.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $30.75 / $50.29	Professional		$26.74	$30.75	$50.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $85.50 / $122.54	Facility		$57.23	$85.50	$122.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $100.00 / $167.12	Professional		$29.22	$100.00	$167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $25.99 / $36.67	Professional		$25.99	$25.99	$36.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $54.08 / $64.90	Professional		$43.26	$54.08	$64.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $37.86 / $90.00	Professional		$32.45	$37.86	$90.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $253.09 / $256.88	Facility		$109.78	$253.09	$256.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $269.32 / $405.60	Professional		$269.32	$269.32	$405.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $108.26 / $108.26	Professional		$108.26	$108.26	$108.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $54.08 / $62.19	Facility		$35.60	$54.08	$62.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.59 / $51.47	Professional		$25.99	$35.59	$51.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $102.05 / $102.05	Professional		$102.05	$102.05	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $24.28 / $51.32	Professional		$23.52	$24.28	$51.32