Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $39.79 / $254.87	Facility		$39.79	$39.79	$254.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $39.79 / $254.87	Professional		$30.75	$39.79	$254.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $124.47 / $280.39	Facility		$30.22	$124.47	$280.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $39.72 / $75.70	Professional		$39.64	$39.72	$75.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $104.58 / $186.75	Facility		$90.78	$104.58	$186.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $117.21 / $272.99	Professional		$47.74	$117.21	$272.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $55.83 / $55.83	Facility		$41.29	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $94.50	Professional		$40.76	$40.76	$94.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $88.33 / $106.00	Professional		$70.66	$88.33	$106.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $61.83 / $134.26	Professional		$53.00	$61.83	$134.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $419.57 / $419.57	Facility		$155.91	$419.57	$419.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $504.72 / $547.28	Professional		$492.89	$504.72	$547.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $135.81 / $135.81	Professional		$135.81	$135.81	$135.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $70.81 / $89.53	Facility		$21.33	$70.81	$89.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $75.08	Professional		$40.76	$40.76	$75.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $166.73	Professional		$166.73	$166.73	$166.73
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $33.10 / $81.59	Professional		$30.01	$33.10	$81.59