Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $17.44 / $159.13	Facility		$15.93	$17.44	$159.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $25.63 / $159.13	Professional		$17.44	$25.63	$159.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $24.64 / $65.14	Facility		$20.46	$24.64	$65.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $29.24 / $52.55	Professional		$24.26	$29.24	$52.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $75.47 / $116.60	Facility		$58.09	$75.47	$116.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $99.52 / $170.46	Professional		$29.81	$99.52	$170.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $65.63	Professional		$24.24	$24.24	$65.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $55.14 / $66.17	Professional		$44.11	$55.14	$66.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $38.60 / $85.47	Professional		$33.08	$38.60	$85.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $261.92 / $261.92	Facility		$114.70	$261.92	$261.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $285.14 / $413.55	Professional		$285.14	$285.14	$413.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.48	Professional		$32.34	$32.34	$116.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $49.74 / $56.82	Facility		$16.27	$49.74	$56.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $53.85	Professional		$24.24	$24.24	$53.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $104.10 / $104.10	Professional		$104.10	$104.10	$104.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $25.19 / $53.37	Professional		$23.29	$25.19	$53.37