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 / $191.61	Professional		$15.51	$23.99	$191.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $71.88 / $312.00	Facility		$31.94	$71.88	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $17.69 / $66.26	Professional		$11.92	$17.69	$66.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $87.40 / $253.02	Facility		$48.22	$87.40	$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 $20.92 / $51.14 / $99.76	Facility		$20.92	$51.14	$99.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $25.73 / $111.72	Professional		$14.87	$25.73	$111.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $29.80 / $40.22	Professional		$21.83	$29.80	$40.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $34.27 / $66.00	Professional		$26.82	$34.27	$66.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.85 / $141.55 / $150.00	Facility		$51.85	$141.55	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $223.50	Professional		$180.90	$180.90	$223.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $39.85 / $77.97	Facility		$25.19	$39.85	$77.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $34.27 / $80.88	Professional		$14.95	$34.27	$80.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $104.59 / $104.59	Professional		$104.59	$104.59	$104.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $30.40 / $50.66	Professional		$23.84	$30.40	$50.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $12.52 / $59.21	Professional		$11.77	$12.52	$59.21