Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $177.83 / $1,047.13	Facility		$25.12	$177.83	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $107.15	Professional		$25.12	$30.90	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.54 / $27.54	Facility		$23.99	$27.54	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $66.07	Professional		$21.38	$29.51	$66.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $380.19	Facility		$58.88	$120.23	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $69.18	Professional		$25.12	$34.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $1,174.90	Facility		$309.03	$389.05	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $112.20 / $204.17	Professional		$30.20	$112.20	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $64.57	Professional		$14.45	$21.88	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $72.44	Professional		$34.67	$44.67	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $275.42	Professional		$194.98	$275.42	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $40.74 / $64.57	Facility		$26.30	$40.74	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $93.33	Professional		$31.62	$69.18	$93.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $45.71	Professional		$18.20	$33.88	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $549.54	Facility		$338.84	$354.81	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $64.57	Professional		$21.38	$30.20	$64.57