Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $47.68 / $250.22	Facility		$47.68	$47.68	$250.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $47.68 / $150.00	Professional		$41.46	$47.68	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $131.61 / $275.27	Facility		$36.21	$131.61	$275.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $46.49 / $82.65	Professional		$43.35	$46.49	$82.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.69 / $183.37	Facility		$89.13	$102.69	$183.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $115.06 / $268.02	Professional		$46.87	$115.06	$268.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $68.90	Facility		$56.02	$56.02	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $103.13	Professional		$40.89	$40.89	$103.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $86.72 / $104.06	Professional		$69.38	$86.72	$104.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $60.70 / $134.41	Professional		$52.03	$60.70	$134.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.62 / $413.81 / $413.81	Facility		$139.62	$413.81	$413.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $447.50 / $447.50 / $650.40	Professional		$447.50	$447.50	$650.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $183.14 / $183.14	Professional		$183.14	$183.14	$183.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $76.68 / $90.03	Facility		$25.57	$76.68	$90.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $84.69	Professional		$40.89	$40.89	$84.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $163.68 / $163.68	Professional		$163.68	$163.68	$163.68
United Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $42.90 / $118.54	Professional		$37.69	$42.90	$118.54