Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $398.11	Facility		$74.13	$204.17	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $316.23	Professional		$28.84	$40.74	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $112.20 / $239.88	Facility		$22.39	$112.20	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $112.20	Professional		$27.54	$52.48	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $467.74	Facility		$58.88	$114.82	$467.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $114.82	Professional		$28.18	$38.90	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $162.18	Facility		$33.11	$85.11	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $114.82	Professional		$25.70	$32.36	$114.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $64.57	Professional		$38.02	$47.86	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $85.11	Professional		$43.65	$52.48	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $363.08	Professional		$288.40	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $125.89	Facility		$41.69	$64.57	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $100.00	Professional		$25.70	$47.86	$100.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $575.44	Professional		$38.90	$53.70	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $47.86 / $47.86	Facility		$20.42	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $93.33	Professional		$20.42	$20.89	$93.33