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 / $172.84	Professional		$15.51	$23.99	$172.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $64.83 / $293.00	Facility		$28.81	$64.83	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $17.69 / $66.26	Professional		$10.75	$17.69	$66.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.40 / $253.02	Facility		$48.20	$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 $18.87 / $46.12 / $89.97	Facility		$18.87	$46.12	$89.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $23.25 / $111.72	Professional		$14.71	$23.25	$111.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $26.88 / $36.29	Professional		$21.50	$26.88	$36.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $30.91 / $59.14	Professional		$24.19	$30.91	$59.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $127.68 / $150.00	Facility		$46.77	$127.68	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $201.60	Professional		$180.90	$180.90	$201.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $38.03 / $70.34	Facility		$24.19	$38.03	$70.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $31.41 / $73.09	Professional		$14.91	$31.41	$73.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $94.34 / $94.34	Professional		$94.34	$94.34	$94.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $27.42 / $45.70	Professional		$21.50	$27.42	$45.70
United Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $26.88 / $26.88	Facility		$11.29	$26.88	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.06 / $69.16	Professional		$11.29	$12.06	$69.16