Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $295.12	Facility		$54.95	$151.36	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $173.78	Professional		$19.05	$25.12	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $60.26 / $131.83	Facility		$14.79	$60.26	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $77.62	Professional		$20.42	$38.02	$77.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $354.81	Facility		$52.48	$95.50	$354.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $75.86	Professional		$20.89	$28.84	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $109.65	Facility		$19.95	$45.71	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $81.28	Professional		$16.98	$24.55	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $35.48	Professional		$22.91	$26.92	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $45.71	Professional		$23.44	$28.84	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $85.11	Facility		$22.39	$36.31	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $74.13	Professional		$16.98	$28.84	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $39.81	Professional		$20.89	$25.70	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $26.30	Facility		$10.96	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $56.23	Professional		$10.96	$15.49	$56.23