Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $49.33 / $258.97	Facility		$49.33	$49.33	$258.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $55.00 / $390.00	Professional		$42.90	$55.00	$390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $136.15 / $284.89	Facility		$37.46	$136.15	$284.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $49.10 / $85.49	Professional		$44.84	$49.10	$85.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $106.26 / $189.75	Facility		$92.60	$106.26	$189.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $119.09 / $277.39	Professional		$48.51	$119.09	$277.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $71.30	Facility		$61.54	$61.54	$71.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $103.80	Professional		$44.92	$44.92	$103.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $89.75 / $107.70	Professional		$71.80	$89.75	$107.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $62.83 / $152.58	Professional		$50.00	$62.83	$152.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.50 / $428.17 / $428.17	Facility		$199.50	$428.17	$428.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $673.13 / $839.24 / $872.80	Professional		$673.13	$839.24	$872.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $189.52 / $189.52	Professional		$189.52	$189.52	$189.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $89.70 / $107.70	Facility		$26.46	$89.70	$107.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $88.44	Professional		$44.92	$61.54	$88.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $169.41 / $169.41	Professional		$169.41	$169.41	$169.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $40.98 / $89.75	Professional		$37.89	$40.98	$89.75