Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $247.27	Facility		$47.11	$47.11	$247.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $47.11 / $247.27	Professional		$37.44	$47.11	$247.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $130.04 / $272.04	Facility		$35.78	$130.04	$272.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $47.52 / $81.64	Professional		$43.98	$47.52	$81.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $101.46 / $181.17	Facility		$88.08	$101.46	$181.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $113.71 / $264.87	Professional		$46.32	$113.71	$264.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $69.70 / $69.70	Facility		$68.08	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $71.79	Professional		$59.25	$59.25	$71.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $85.70 / $102.84	Professional		$68.56	$85.70	$102.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $59.99 / $132.84	Professional		$51.42	$59.99	$132.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $410.39 / $410.39	Facility		$147.49	$410.39	$410.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.02 / $442.02 / $642.75	Professional		$442.02	$442.02	$642.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $180.93 / $180.93	Professional		$180.93	$180.93	$180.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $75.76 / $88.26	Facility		$25.26	$75.76	$88.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $81.56	Professional		$59.25	$69.70	$81.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $161.76 / $161.76	Professional		$161.76	$161.76	$161.76
United Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $42.37 / $83.41	Professional		$36.18	$42.37	$83.41