Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $57.75 / $1,827.00	Facility		$29.72	$57.75	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $30.67 / $128.24	Professional		$24.48	$30.67	$128.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $169.00 / $876.00	Facility		$10.81	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $36.95 / $73.04	Professional		$27.66	$36.95	$73.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $90.30 / $171.32	Facility		$48.20	$90.30	$171.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $37.01 / $88.76	Professional		$28.65	$37.01	$88.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $225.99 / $483.01	Facility		$50.40	$225.99	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $38.78 / $88.84	Professional		$27.06	$38.78	$88.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $42.32 / $57.13	Professional		$21.62	$42.32	$57.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $41.80 / $73.00	Professional		$31.10	$41.80	$73.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $359.91 / $359.91	Facility		$70.77	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $213.10 / $274.95	Professional		$213.10	$213.10	$274.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $32.34 / $32.34	Professional		$22.10	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $43.43 / $79.50	Facility		$28.65	$43.43	$79.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $43.97 / $88.95	Professional		$27.60	$43.97	$88.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $110.93 / $110.93	Professional		$110.93	$110.93	$110.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $43.42 / $52.72	Professional		$32.43	$43.42	$52.72
United Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $173.25 / $173.25	Facility		$37.90	$173.25	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $33.92 / $83.99	Professional		$21.85	$33.92	$83.99