Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $218.78	Facility		$43.65	$109.65	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $234.42	Professional		$18.20	$25.70	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $63.10 / $134.90	Facility		$12.59	$63.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $61.66	Professional		$16.60	$29.51	$61.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $257.04	Facility		$47.86	$85.11	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $61.66	Professional		$15.14	$20.89	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $46.77 / $95.50	Facility		$18.20	$46.77	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $63.10	Professional		$14.13	$17.78	$63.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $26.92 / $36.31	Professional		$7.59	$26.92	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $51.29	Professional		$23.99	$29.51	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $208.93	Facility		$134.90	$134.90	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $89.13	Facility		$22.91	$36.31	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.92 / $54.95	Professional		$14.13	$26.92	$54.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $26.92	Professional		$10.96	$15.14	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.92 / $26.92	Facility		$11.22	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $58.88	Professional		$15.85	$16.22	$58.88