Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $154.88 / $302.00	Facility		$58.88	$154.88	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $269.15	Professional		$25.12	$34.67	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $95.50 / $204.17	Facility		$19.05	$95.50	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $173.78	Professional		$23.44	$44.67	$173.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $363.08	Facility		$53.70	$97.72	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $87.10	Professional		$21.38	$29.51	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $70.79 / $138.04	Facility		$27.54	$70.79	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $89.13	Professional		$19.95	$26.92	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $54.95	Professional		$28.84	$40.74	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $72.44	Professional		$36.31	$44.67	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $51.29 / $117.49	Facility		$33.11	$51.29	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $40.74 / $83.18	Professional		$19.95	$40.74	$83.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $436.52	Professional		$32.36	$45.71	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.74 / $40.74	Facility		$16.98	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $89.13	Professional		$22.39	$24.55	$89.13