Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $92.51 / $213.91	Facility		$22.73	$92.51	$213.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $22.73 / $312.30	Professional		$19.52	$22.73	$312.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.91 / $293.00	Facility		$28.84	$64.91	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $24.70 / $63.90	Professional		$10.76	$24.70	$63.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $86.00 / $239.66	Facility		$47.80	$86.00	$239.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $16.82 / $62.03	Professional		$11.77	$16.82	$62.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $46.17 / $90.07	Facility		$18.89	$46.17	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $23.25 / $105.84	Professional		$13.98	$23.25	$105.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $26.91 / $36.33	Professional		$7.60	$26.91	$36.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $30.95 / $60.98	Professional		$24.22	$30.95	$60.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $135.00 / $210.00	Facility		$80.09	$135.00	$210.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $362.00 / $362.00	Professional		$362.00	$362.00	$362.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $36.60 / $102.62	Facility		$23.52	$36.60	$102.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $30.95 / $73.09	Professional		$14.21	$30.95	$73.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.53 / $26.91	Professional		$11.12	$18.53	$26.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.37 / $90.81	Professional		$15.85	$17.37	$90.81