Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $229.09	Facility		$28.18	$56.23	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $295.12	Professional		$28.18	$36.31	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $104.71 / $223.87	Facility		$20.89	$104.71	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $74.13	Professional		$28.18	$33.88	$74.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $102.33 / $125.89	Facility		$32.36	$102.33	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $190.55	Professional		$69.18	$89.13	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $79.43 / $158.49	Facility		$31.62	$79.43	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $128.82	Professional		$23.99	$30.20	$128.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $60.26	Professional		$36.31	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $79.43	Professional		$40.74	$48.98	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $338.84	Professional		$223.87	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $131.83	Facility		$33.88	$53.70	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $125.89	Professional		$23.99	$47.86	$125.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $537.03	Professional		$36.31	$44.67	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $44.67	Facility		$19.05	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $87.10	Professional		$19.05	$19.05	$87.10