Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $101.29 / $225.00	Facility		$23.42	$101.29	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $23.42 / $140.94	Professional		$15.51	$23.42	$140.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $52.87 / $293.00	Facility		$23.49	$52.87	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $17.69 / $58.62	Professional		$9.90	$17.69	$58.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $87.40 / $253.02	Facility		$47.80	$87.40	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $65.43	Professional		$12.43	$17.76	$65.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $37.61 / $73.53	Facility		$16.10	$37.61	$73.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $21.70 / $108.52	Professional		$13.16	$21.70	$108.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $21.92 / $29.59	Professional		$17.82	$21.92	$29.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $25.21 / $48.22	Professional		$19.73	$25.21	$48.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $104.12 / $188.00	Facility		$38.14	$104.12	$188.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $180.90	Professional		$180.90	$180.90	$180.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Professional		$21.92	$21.92	$21.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $34.31 / $64.64	Facility		$21.26	$34.31	$64.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $26.31 / $67.23	Professional		$14.78	$26.31	$67.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $76.93 / $76.93	Professional		$76.93	$76.93	$76.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $22.36 / $37.26	Professional		$17.54	$22.36	$37.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $21.92 / $21.92	Facility		$9.21	$21.92	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.93 / $55.48	Professional		$9.21	$11.93	$55.48