Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $102.49 / $233.35	Facility		$24.84	$102.49	$233.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $24.25 / $187.89	Professional		$18.59	$24.25	$187.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $70.48 / $311.19	Facility		$31.32	$70.48	$311.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $17.98 / $59.60	Professional		$11.69	$17.98	$59.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $87.40 / $263.86	Facility		$48.30	$87.40	$263.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $18.39 / $67.78	Professional		$12.87	$18.39	$67.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $50.13 / $97.80	Facility		$21.46	$50.13	$97.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $25.14 / $115.77	Professional		$15.30	$25.14	$115.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $29.22 / $39.45	Professional		$22.61	$29.22	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.60 / $64.28	Professional		$26.30	$33.60	$64.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $138.80 / $138.80	Facility		$50.84	$138.80	$138.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $219.15	Professional		$146.10	$146.10	$219.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $35.06	Professional		$35.06	$35.06	$35.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $35.06 / $83.95	Facility		$24.55	$35.06	$83.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $34.27 / $78.94	Professional		$15.75	$34.27	$78.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $102.56 / $102.56	Professional		$102.56	$102.56	$102.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $26.30 / $38.44	Professional		$23.06	$26.30	$38.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.36 / $58.64	Professional		$12.27	$12.36	$58.64