Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $45.77 / $293.18	Facility		$45.77	$45.77	$293.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $45.77 / $293.18	Professional		$36.04	$45.77	$293.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $143.19 / $322.54	Facility		$34.81	$143.19	$322.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $45.68 / $82.70	Professional		$43.39	$45.68	$82.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.30 / $214.83	Facility		$95.50	$120.30	$214.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $134.83 / $314.05	Professional		$54.92	$134.83	$314.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $54.54 / $54.54	Facility		$47.49	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $58.13	Professional		$39.81	$39.81	$58.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $101.61 / $121.93	Professional		$81.29	$101.61	$121.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $71.13 / $154.44	Professional		$60.97	$71.13	$154.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $179.48 / $482.65 / $482.65	Facility		$179.48	$482.65	$482.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $580.77 / $614.63	Professional		$567.17	$580.77	$614.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $233.24 / $233.24	Professional		$233.24	$233.24	$233.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $81.47 / $102.98	Facility		$24.54	$81.47	$102.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $76.73	Professional		$39.81	$54.54	$76.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $191.79 / $191.79	Professional		$191.79	$191.79	$191.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $38.02 / $96.68	Professional		$35.15	$38.02	$96.68