Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $120.23 / $234.42	Facility		$45.71	$120.23	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $194.98	Professional		$17.38	$23.99	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $67.61 / $147.91	Facility		$13.49	$67.61	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $61.66	Professional		$16.22	$28.18	$61.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $281.84	Facility		$47.86	$87.10	$281.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $67.61	Professional		$16.60	$22.91	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $51.29 / $104.71	Facility		$20.42	$51.29	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $69.18	Professional		$15.14	$19.50	$69.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $39.81	Professional		$22.39	$29.51	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $51.29	Professional		$26.30	$32.36	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $218.78	Professional		$144.54	$218.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $87.10	Facility		$23.99	$34.67	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.20 / $63.10	Professional		$15.49	$30.20	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $38.02	Professional		$22.39	$26.30	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $29.51	Facility		$12.30	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $56.23	Professional		$12.30	$12.30	$56.23