Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $30.42 / $159.66	Facility		$30.42	$30.42	$159.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $30.42 / $44.60	Professional		$26.37	$30.42	$44.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $83.96 / $175.67	Facility		$23.10	$83.96	$175.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $30.80 / $52.74	Professional		$27.66	$30.80	$52.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $82.95 / $116.99	Facility		$58.11	$82.95	$116.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $99.84 / $171.01	Professional		$29.91	$99.84	$171.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $31.65 / $43.96	Facility		$31.65	$31.65	$43.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $33.74	Professional		$23.10	$23.10	$33.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $55.34 / $66.41	Professional		$44.27	$55.34	$66.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $38.74 / $85.78	Professional		$33.20	$38.74	$85.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $264.05 / $264.05	Facility		$89.07	$264.05	$264.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $285.55 / $415.05	Professional		$285.55	$285.55	$415.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $116.85 / $116.85	Professional		$116.85	$116.85	$116.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $48.92 / $57.00	Facility		$16.30	$48.92	$57.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $31.65 / $52.67	Professional		$23.10	$31.65	$52.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $104.44 / $104.44	Professional		$104.44	$104.44	$104.44
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $22.95 / $25.04	Facility		$4.17	$22.95	$25.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.31 / $53.54	Professional		$23.01	$25.31	$53.54