Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $110.40 / $225.00	Facility		$23.99	$110.40	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.98 / $108.77	Professional		$17.96	$23.98	$108.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $54.87 / $293.00	Facility		$24.38	$54.87	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $17.69 / $58.62	Professional		$9.90	$17.69	$58.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $87.20 / $253.02	Facility		$47.80	$87.20	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $65.43	Professional		$12.43	$17.76	$65.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $39.04 / $76.17	Facility		$16.71	$39.04	$76.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $22.05 / $111.72	Professional		$13.37	$22.05	$111.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $22.75 / $30.71	Professional		$17.17	$22.75	$30.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $26.85 / $50.05	Professional		$20.48	$26.85	$50.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $108.06 / $108.06	Facility		$39.59	$108.06	$108.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $176.00 / $176.00	Professional		$170.63	$176.00	$176.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Professional		$27.30	$27.30	$27.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $34.40 / $65.39	Facility		$22.07	$34.40	$65.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $27.20 / $67.23	Professional		$14.91	$27.20	$67.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $79.84 / $79.84	Professional		$79.84	$79.84	$79.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.21 / $38.68	Professional		$18.20	$23.21	$38.68
United Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $22.75 / $22.75	Facility		$9.56	$22.75	$22.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.93 / $43.70	Professional		$9.56	$11.93	$43.70