Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $26.95 / $240.85	Facility		$26.95	$26.95	$240.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $31.34 / $240.85	Professional		$26.95	$31.34	$240.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $108.54 / $265.02	Facility		$36.35	$108.54	$265.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $35.85 / $83.49	Professional		$27.49	$35.85	$83.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $105.38 / $195.74	Facility		$87.67	$105.38	$195.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $54.42 / $93.55	Professional		$38.09	$54.42	$93.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $83.49 / $91.84	Professional		$55.03	$83.49	$91.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $83.49 / $192.03	Professional		$70.97	$83.49	$192.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.26 / $390.73 / $396.58	Facility		$140.26	$390.73	$396.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $83.49 / $130.12	Facility		$38.60	$83.49	$130.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $83.49 / $83.49	Professional		$0.09	$83.49	$83.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $157.56 / $157.56	Professional		$157.56	$157.56	$157.56
United Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $72.95 / $190.22	Professional		$48.92	$72.95	$190.22