Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $40.88 / $214.55	Facility		$40.88	$40.88	$214.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $40.88 / $214.55	Professional		$32.70	$40.88	$214.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $113.98 / $236.01	Facility		$31.59	$113.98	$236.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $42.38 / $70.88	Professional		$37.18	$42.38	$70.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $100.00 / $157.22	Facility		$78.09	$100.00	$157.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $100.00 / $229.81	Professional		$40.19	$100.00	$229.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $59.08	Facility		$43.76	$43.76	$59.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $88.50	Professional		$37.20	$37.20	$88.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $74.34 / $89.22	Professional		$59.48	$74.34	$89.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $52.05 / $115.24	Professional		$44.61	$52.05	$115.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $354.84 / $354.84	Facility		$128.05	$354.84	$354.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $383.76 / $557.63	Professional		$383.76	$383.76	$557.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $157.05 / $157.05	Professional		$157.05	$157.05	$157.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $65.75 / $76.61	Facility		$21.92	$65.75	$76.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $72.61	Professional		$37.20	$37.20	$72.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $140.35 / $140.35	Professional		$140.35	$140.35	$140.35
United Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $36.77 / $72.37	Professional		$31.97	$36.77	$72.37