Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $97.64 / $225.00	Facility		$23.99	$97.64	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $23.99 / $200.75	Professional		$15.51	$23.99	$200.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $75.30 / $312.00	Facility		$33.46	$75.30	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.69 / $66.26	Professional		$12.49	$17.69	$66.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $87.80 / $253.02	Facility		$48.22	$87.80	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $65.45	Professional		$12.43	$17.76	$65.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $53.57 / $104.49	Facility		$21.45	$53.57	$104.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $26.97 / $111.72	Professional		$14.87	$26.97	$111.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $31.22 / $42.15	Professional		$21.83	$31.22	$42.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $35.90 / $69.00	Professional		$28.10	$35.90	$69.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $148.30 / $150.00	Facility		$54.32	$148.30	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $198.99 / $234.15	Professional		$198.99	$198.99	$234.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $31.22	Professional		$31.22	$31.22	$31.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $40.58 / $81.97	Facility		$25.33	$40.58	$81.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $34.34 / $84.78	Professional		$14.95	$34.34	$84.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $109.58	Professional		$109.58	$109.58	$109.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $31.84 / $53.07	Professional		$24.98	$31.84	$53.07
United Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $31.22 / $31.22	Facility		$13.11	$31.22	$31.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $13.11 / $80.33	Professional		$11.77	$13.11	$80.33