Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $136.59 / $282.66	Facility		$29.32	$136.59	$282.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $30.01 / $215.21	Professional		$23.37	$30.01	$215.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $80.73 / $312.00	Facility		$35.86	$80.73	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $32.61 / $84.41	Professional		$14.22	$32.61	$84.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $92.60 / $316.68	Facility		$52.60	$92.60	$316.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $22.22 / $81.94	Professional		$15.55	$22.22	$81.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $57.45 / $112.06	Facility		$23.52	$57.45	$112.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $28.83 / $140.68	Professional		$18.57	$28.83	$140.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $33.47 / $45.18	Professional		$19.17	$33.47	$45.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $38.49 / $74.00	Professional		$30.12	$38.49	$74.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $184.63 / $230.00	Facility		$58.24	$184.63	$230.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $397.00 / $397.00	Professional		$397.00	$397.00	$397.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $40.15 / $40.15	Professional		$40.15	$40.15	$40.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $47.79 / $115.26	Facility		$30.26	$47.79	$115.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $38.49 / $90.63	Professional		$18.64	$38.49	$90.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $117.47 / $117.47	Professional		$117.47	$117.47	$117.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $34.14 / $56.90	Professional		$26.78	$34.14	$56.90
United Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $21.57 / $86.12	Professional		$20.07	$21.57	$86.12