Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $22.87 / $25.86	Facility		$21.49	$22.87	$25.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $24.51 / $35.72	Professional		$19.79	$24.51	$35.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $29.78 / $29.78	Facility		$27.69	$29.78	$29.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $28.12 / $54.40	Professional		$19.41	$28.12	$54.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $26.67 / $44.66	Professional		$20.52	$26.67	$44.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.00 / $58.78	Professional		$19.00	$25.00	$58.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $27.59 / $37.09	Professional		$21.94	$27.59	$37.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $24.44 / $38.67	Professional		$19.97	$24.44	$38.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $112.86 / $112.86	Facility		$105.96	$112.86	$112.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $161.06 / $213.98	Professional		$142.56	$161.06	$213.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $23.68 / $35.71	Professional		$19.22	$23.68	$35.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $27.28 / $35.61	Facility		$21.49	$27.28	$35.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.92 / $57.50	Professional		$19.00	$25.92	$57.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.29 / $55.75	Professional		$19.22	$24.29	$55.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $26.98 / $32.97	Professional		$22.80	$26.98	$32.97
United Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $29.10 / $29.10	Facility		$29.10	$29.10	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $25.43 / $67.92	Professional		$19.52	$25.43	$67.92