Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $128.65 / $292.92	Facility		$30.44	$128.65	$292.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $30.44 / $167.63	Professional		$20.32	$30.44	$167.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $62.88 / $293.00	Facility		$27.94	$62.88	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $22.99 / $76.23	Professional		$12.87	$22.99	$76.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $91.40 / $328.87	Facility		$52.40	$91.40	$328.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $23.08 / $85.07	Professional		$16.16	$23.08	$85.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $44.75 / $90.78	Facility		$19.14	$44.75	$90.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.00 / $128.56	Professional		$16.98	$28.00	$128.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.65 / $35.19	Professional		$23.17	$26.65	$35.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $29.98 / $57.35	Professional		$23.46	$29.98	$57.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $324.13 / $324.13	Facility		$45.36	$324.13	$324.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.43 / $810.43 / $810.43	Professional		$810.43	$810.43	$810.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $31.28 / $31.28	Professional		$31.28	$31.28	$31.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $40.27 / $86.96	Facility		$24.41	$40.27	$86.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $31.54 / $86.73	Professional		$19.17	$31.54	$86.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $91.50 / $91.50	Professional		$91.50	$91.50	$91.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $25.95 / $39.39	Professional		$20.86	$25.95	$39.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $67.08	Professional		$10.95	$15.64	$67.08