Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $151.36	Facility		$28.84	$87.10	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $151.36	Professional		$19.95	$42.66	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $144.54	Professional		$24.55	$58.88	$144.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $75.86 / $125.89	Facility		$33.88	$75.86	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $104.71	Professional		$26.92	$35.48	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Facility		$72.44	$72.44	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $109.65	Professional		$20.89	$36.31	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $100.00	Professional		$23.44	$30.90	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $120.23	Professional		$44.67	$69.18	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $85.11	Professional		$26.30	$33.88	$85.11
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 $22.91 / $58.88 / $100.00	Facility		$22.91	$58.88	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $123.03	Professional		$20.89	$37.15	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $67.61	Professional		$25.12	$36.31	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $107.15	Professional		$23.99	$47.86	$107.15