Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $114.82 / $190.55	Facility		$35.48	$114.82	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $25.70	Professional		$15.85	$19.95	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $125.89	Facility		$32.36	$63.10	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $74.13	Professional		$25.12	$37.15	$74.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $269.15	Facility		$46.77	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $51.29	Professional		$14.79	$20.42	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $89.13	Facility		$16.98	$41.69	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Professional		$30.20	$30.20	$120.23
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 / $30.20 / $47.86	Professional		$22.39	$30.20	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
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 $20.42 / $30.20 / $54.95	Facility		$20.42	$30.20	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $48.98	Professional		$25.12	$27.54	$48.98
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 / $11.75 / $38.02	Professional		$10.47	$11.75	$38.02