Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $38.79 / $272.64	Facility		$34.75	$38.79	$272.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $50.85 / $91.54	Professional		$34.75	$50.85	$91.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $119.77 / $303.68	Facility		$53.49	$119.77	$303.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $53.49 / $82.39	Professional		$43.92	$53.49	$82.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $100.53 / $179.52	Facility		$85.50	$100.53	$179.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $144.99 / $306.45	Professional		$68.48	$144.99	$306.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $66.44	Professional		$55.25	$55.25	$66.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $87.12 / $117.61	Professional		$69.70	$87.12	$117.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $97.74 / $184.62	Professional		$60.98	$97.74	$184.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $425.46 / $425.46	Facility		$148.83	$425.46	$425.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $489.33 / $619.65	Professional		$482.72	$489.33	$619.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $199.89 / $199.89	Professional		$199.89	$199.89	$199.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $87.12 / $104.54	Facility		$49.93	$87.12	$104.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $65.00 / $101.51	Professional		$55.25	$65.00	$101.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $178.35 / $178.35	Professional		$178.35	$178.35	$178.35
United Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $52.01 / $95.34	Professional		$41.64	$52.01	$95.34