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 / $175.48	Professional		$15.51	$23.99	$175.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $65.81 / $293.00	Facility		$29.25	$65.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $17.69 / $66.26	Professional		$10.92	$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 $19.16 / $46.83 / $91.36	Facility		$19.16	$46.83	$91.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $23.56 / $111.72	Professional		$14.71	$23.56	$111.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $27.29 / $36.84	Professional		$21.83	$27.29	$36.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.38 / $61.00	Professional		$24.56	$31.38	$61.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $129.63 / $150.00	Facility		$47.48	$129.63	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $164.83 / $204.68	Professional		$164.83	$164.83	$204.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $27.29	Professional		$27.29	$27.29	$27.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $38.03 / $71.19	Facility		$24.56	$38.03	$71.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $31.38 / $74.06	Professional		$14.91	$31.38	$74.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $95.78 / $95.78	Professional		$95.78	$95.78	$95.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $27.84 / $46.39	Professional		$21.83	$27.84	$46.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $12.42 / $76.05	Professional		$11.46	$12.42	$76.05