Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $44.12 / $241.88	Facility		$39.90	$44.12	$241.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $41.92 / $155.37	Professional		$36.79	$41.92	$155.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $42.75 / $112.60	Facility		$35.36	$42.75	$112.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $51.75 / $105.30	Professional		$37.60	$51.75	$105.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $88.91 / $185.86	Facility		$48.48	$88.91	$185.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $46.72 / $110.67	Professional		$36.32	$46.72	$110.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $55.46 / $111.48	Professional		$42.08	$55.46	$111.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.82 / $61.86	Professional		$37.47	$45.82	$61.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $46.42 / $79.86	Professional		$36.45	$46.42	$79.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $198.60 / $198.60	Facility		$181.68	$198.60	$198.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $255.15 / $327.68	Professional		$255.15	$255.15	$327.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $34.90	Professional		$32.34	$32.34	$34.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $50.17 / $75.54	Facility		$40.07	$50.17	$75.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $64.67 / $110.92	Professional		$43.03	$64.67	$110.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $135.11 / $135.11	Professional		$135.11	$135.11	$135.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $50.41 / $52.46	Professional		$36.65	$50.41	$52.46
United Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $47.94 / $114.19	Professional		$34.22	$47.94	$114.19