Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $33.52 / $35.09	Facility		$33.52	$33.52	$35.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.52 / $52.63	Professional		$33.52	$33.52	$52.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.34 / $172.43	Professional		$17.32	$26.34	$172.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $79.30 / $98.95	Facility		$25.37	$79.30	$98.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $28.16 / $84.83	Professional		$19.71	$28.16	$84.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.58 / $60.67 / $121.09	Facility		$22.58	$60.67	$121.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $47.37	Professional		$35.09	$38.60	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $79.52	Professional		$31.58	$40.35	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $166.68 / $166.68	Facility		$61.06	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $43.86 / $103.52	Facility		$28.07	$43.86	$103.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $47.66	Professional		$18.45	$18.45	$47.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $108.42 / $108.42	Professional		$108.42	$108.42	$108.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $108.65	Professional		$14.74	$20.22	$108.65