Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $26.32 / $138.13	Facility		$26.32	$26.32	$138.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $26.32 / $138.13	Professional		$20.91	$26.32	$138.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $72.69 / $151.94	Facility		$20.00	$72.69	$151.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $26.70 / $45.61	Professional		$23.93	$26.70	$45.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $69.29 / $101.20	Facility		$49.21	$69.29	$101.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $86.39 / $147.97	Professional		$25.88	$86.39	$147.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $38.02	Facility		$27.38	$27.38	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $28.20	Professional		$19.98	$19.98	$28.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $47.87 / $57.44	Professional		$38.29	$47.87	$57.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $33.51 / $74.20	Professional		$28.72	$33.51	$74.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $228.34 / $228.34	Facility		$85.00	$228.34	$228.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $246.66 / $359.03	Professional		$246.66	$246.66	$359.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $101.10 / $101.10	Professional		$101.10	$101.10	$101.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $42.00 / $49.32	Facility		$14.11	$42.00	$49.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $45.57	Professional		$19.98	$27.38	$45.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $90.36 / $90.36	Professional		$90.36	$90.36	$90.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.86 / $47.87	Professional		$19.85	$21.86	$47.87