Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $150.88 / $550.99	Facility		$26.44	$150.88	$550.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.71 / $133.57	Professional		$24.55	$37.71	$133.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $22.38 / $58.94	Facility		$18.51	$22.38	$58.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $35.45 / $89.61	Professional		$20.45	$35.45	$89.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $46.60 / $112.71	Facility		$18.89	$46.60	$112.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $29.43 / $73.98	Professional		$21.14	$29.43	$73.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $32.06 / $72.19	Professional		$18.03	$32.06	$72.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $36.86 / $64.16	Professional		$27.30	$36.86	$64.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $44.49 / $82.85	Professional		$24.34	$44.49	$82.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $120.32 / $120.32	Facility		$110.49	$120.32	$120.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.05 / $12.03 / $12.03	Facility	AS	$11.05	$12.03	$12.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $268.44 / $355.43	Professional		$158.51	$268.44	$355.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $39.97 / $64.86	Facility		$25.03	$39.97	$64.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $35.14 / $79.98	Professional		$18.11	$35.14	$79.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $85.08 / $145.19	Professional		$85.08	$85.08	$145.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $30.36 / $59.46	Professional		$22.08	$30.36	$59.46
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $44.75 / $85.08	Professional		$32.21	$44.75	$85.08