Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $100.00 / $239.88	Facility		$33.11	$100.00	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $131.83	Professional		$23.99	$33.11	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.02 / $169.82	Facility		$10.72	$12.02	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $81.28	Professional		$29.51	$39.81	$81.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $213.80	Facility		$48.98	$95.50	$213.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $85.11	Professional		$33.11	$44.67	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $199.53 / $524.81	Facility		$50.12	$199.53	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $74.13	Professional		$26.92	$38.90	$74.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $57.54	Professional		$21.38	$42.66	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $75.86	Professional		$30.90	$39.81	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $363.08	Facility		$213.80	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $275.42	Professional		$213.80	$275.42	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $30.90 / $33.11	Professional		$9.33	$30.90	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $81.28	Facility		$28.84	$43.65	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $83.18	Professional		$26.92	$40.74	$83.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $52.48	Professional		$32.36	$40.74	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $138.04 / $218.78	Facility		$19.95	$138.04	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $70.79	Professional		$21.88	$33.88	$70.79