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 / $129.99	Professional		$15.51	$23.99	$129.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $72.43 / $312.00	Facility		$32.19	$72.43	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $17.69 / $66.26	Professional		$12.01	$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 $21.08 / $51.53 / $100.53	Facility		$21.08	$51.53	$100.53
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 / $30.03 / $40.54	Professional		$21.83	$30.03	$40.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $34.53 / $66.06	Professional		$27.03	$34.53	$66.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $142.63 / $142.63	Facility		$52.25	$142.63	$142.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $164.83 / $225.23	Professional		$164.83	$164.83	$225.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Professional		$30.03	$30.03	$30.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $39.85 / $78.81	Facility		$25.19	$39.85	$78.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $34.53 / $80.88	Professional		$14.95	$34.53	$80.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Professional		$105.40	$105.40	$105.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $30.63 / $51.05	Professional		$24.02	$30.63	$51.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $13.66 / $77.27	Professional		$11.77	$13.66	$77.27