Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $44.44 / $454.02	Facility		$27.34	$44.44	$454.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $40.03 / $113.64	Professional		$26.82	$40.03	$113.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $24.35 / $64.13	Facility		$20.14	$24.35	$64.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $40.31 / $97.92	Professional		$22.48	$40.31	$97.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $53.00 / $192.33	Facility		$21.43	$53.00	$192.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $32.77 / $91.67	Professional		$23.98	$32.77	$91.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $37.15 / $84.37	Professional		$19.78	$37.15	$84.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $39.85 / $77.29	Professional		$29.52	$39.85	$77.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $53.20 / $99.31	Professional		$26.33	$53.20	$99.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $130.15 / $130.15	Facility		$119.57	$130.15	$130.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.96 / $13.02 / $13.02	Facility	AS	$11.96	$13.02	$13.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $318.22 / $424.95	Professional		$187.85	$318.22	$424.95
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 $27.29 / $44.24 / $77.75	Facility		$27.29	$44.24	$77.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $38.25 / $94.17	Professional		$19.80	$38.25	$94.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $92.05 / $171.39	Professional		$92.05	$92.05	$171.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $32.82 / $71.63	Professional		$23.87	$32.82	$71.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $52.69 / $116.92	Professional		$36.51	$52.69	$116.92