Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $223.87	Facility		$44.67	$114.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $204.17	Professional		$18.20	$25.70	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $72.44 / $154.88	Facility		$14.45	$72.44	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $69.18	Professional		$15.85	$30.90	$69.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $269.15	Facility		$47.86	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $66.07	Professional		$15.85	$22.39	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $109.65	Facility		$20.89	$54.95	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $66.07	Professional		$14.79	$20.89	$66.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $41.69	Professional		$21.88	$30.90	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $56.23	Professional		$28.18	$34.67	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $151.36	Facility		$147.91	$147.91	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $234.42	Professional		$199.53	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $81.28	Facility		$25.12	$39.81	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.90 / $63.10	Professional		$14.79	$30.90	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $331.13	Professional		$25.12	$34.67	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.90 / $30.90	Facility		$13.18	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $58.88	Professional		$11.75	$13.18	$58.88