Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $55.41 / $221.39	Facility		$15.54	$55.41	$221.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $27.03 / $221.39	Professional		$9.69	$27.03	$221.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $83.05 / $312.00	Facility		$36.90	$83.05	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $19.51 / $50.52	Professional		$11.77	$19.51	$50.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $71.54 / $116.28	Facility		$26.15	$71.54	$116.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $11.51 / $33.35	Professional		$8.06	$11.51	$33.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $59.08 / $119.87	Facility		$25.29	$59.08	$119.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $37.13 / $170.30	Professional		$22.49	$37.13	$170.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $34.43 / $46.48	Professional		$12.08	$34.43	$46.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $39.59 / $75.75	Professional		$30.99	$39.59	$75.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $163.92 / $375.00	Facility		$59.91	$163.92	$375.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $777.00 / $777.00	Professional		$271.35	$777.00	$777.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $41.32 / $41.32	Professional		$41.32	$41.32	$41.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $53.18 / $108.79	Facility		$24.45	$53.18	$108.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $41.66 / $114.99	Professional		$25.36	$41.66	$114.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $120.84 / $120.84	Professional		$120.84	$120.84	$120.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $27.54 / $35.36	Professional		$21.21	$27.54	$35.36
United Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $34.43 / $34.43	Facility		$14.46	$34.43	$34.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $29.26 / $107.91	Professional		$20.66	$29.26	$107.91