Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $200.83 / $264.47	Facility		$27.15	$200.83	$264.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $27.63 / $215.65	Professional		$21.15	$27.63	$215.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $171.96 / $876.00	Facility		$14.26	$171.96	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $35.35 / $99.66	Professional		$12.92	$35.35	$99.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $55.40 / $82.59	Facility		$24.41	$55.40	$82.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $31.31 / $91.28	Professional		$24.74	$31.31	$91.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $42.90 / $105.55	Facility		$21.82	$42.90	$105.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $18.92 / $73.39	Professional		$14.59	$18.92	$73.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $40.61 / $54.84	Professional		$13.62	$40.61	$54.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $40.83 / $81.92	Professional		$32.50	$40.83	$81.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $156.63 / $173.42	Facility		$76.31	$156.63	$173.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Professional		$333.00	$333.00	$333.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $42.05 / $85.12	Facility		$23.09	$42.05	$85.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $35.33 / $91.60	Professional		$15.07	$35.33	$91.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Professional		$126.23	$126.23	$126.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $36.95 / $47.43	Professional		$32.84	$36.95	$47.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $22.04 / $101.18	Professional		$17.48	$22.04	$101.18