Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $31.03 / $33.15	Facility		$26.77	$31.03	$33.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $31.03 / $42.25	Professional		$22.97	$31.03	$42.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.00 / $131.00 / $145.00	Professional	25	$131.00	$131.00	$145.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $42.52 / $42.52	Facility		$39.54	$42.52	$42.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $38.82 / $78.68	Professional		$28.06	$38.82	$78.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $82.45 / $82.45	Facility		$57.27	$82.45	$82.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $33.46 / $56.75	Professional		$26.91	$33.46	$56.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $48.58	Professional		$30.95	$30.95	$48.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $38.58 / $50.85	Professional		$31.24	$38.58	$50.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $32.54 / $54.24	Professional		$26.73	$32.54	$54.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.47 / $160.47 / $278.77	Facility		$160.47	$160.47	$278.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $399.91 / $399.91	Professional		$399.91	$399.91	$399.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $34.00 / $46.64	Facility		$25.01	$34.00	$46.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $42.22 / $85.36	Professional		$30.95	$42.22	$85.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $106.96 / $116.58	Professional		$106.96	$106.96	$116.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $38.03 / $110.18	Professional		$27.27	$38.03	$110.18