Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $165.96	Facility		$34.67	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $125.89	Facility		$63.10	$125.89	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $63.10	Professional		$28.84	$36.31	$63.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $56.23 / $70.79	Facility		$18.20	$56.23	$70.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $51.29	Professional		$14.79	$19.50	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $89.13	Facility		$16.98	$41.69	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $33.88	Professional		$25.12	$27.54	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $43.65	Professional		$22.39	$27.54	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $186.21	Professional		$125.89	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $74.13	Facility		$19.95	$30.20	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $25.12 / $25.12	Facility		$10.47	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $47.86	Professional		$10.47	$10.47	$47.86