Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $102.91 / $295.01	Facility		$50.21	$102.91	$295.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $50.21 / $60.50	Professional		$48.39	$50.21	$60.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $24.48 / $61.81	Facility		$11.58	$24.48	$61.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $51.42 / $102.33	Professional		$8.91	$51.42	$102.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $50.26 / $75.47	Facility		$44.94	$50.26	$75.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.15 / $30.30	Professional		$9.67	$10.15	$30.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Facility		$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.80 / $12.03	Professional		$8.91	$9.80	$12.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $82.00 / $638.07	Professional		$46.00	$82.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $150.07 / $150.07	Facility		$75.00	$150.07	$150.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $411.45 / $411.45 / $411.45	Professional		$411.45	$411.45	$411.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.26 / $60.00	Professional		$8.91	$18.26	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.61 / $51.42	Facility		$8.91	$11.61	$51.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $51.42 / $51.42	Professional		$10.95	$51.42	$51.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $41.10 / $41.10	Professional		$41.10	$41.10	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $96.82	Professional		$50.40	$50.40	$96.82