Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $170.86 / $393.79	Facility		$40.99	$170.86	$393.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $40.99 / $225.63	Professional		$27.37	$40.99	$225.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $84.64 / $312.00	Facility		$37.61	$84.64	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $30.96 / $102.58	Professional		$17.32	$30.96	$102.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $97.90 / $439.89	Facility		$57.10	$97.90	$439.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.07 / $100.00	Professional		$24.86	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $60.22 / $122.17	Facility		$25.78	$60.22	$122.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $37.72 / $173.64	Professional		$22.92	$37.72	$173.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $35.86 / $47.37	Professional		$31.19	$35.86	$47.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.35 / $79.52	Professional		$31.58	$40.35	$79.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $207.81 / $207.81	Facility		$73.45	$207.81	$207.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $361.80 / $361.80	Professional		$361.80	$361.80	$361.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $58.62 / $111.13	Facility		$34.04	$58.62	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $43.86 / $116.94	Professional		$25.76	$43.86	$116.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $35.79 / $59.65	Professional		$28.07	$35.79	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $93.88	Professional		$14.74	$21.05	$93.88