Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $23.19 / $217.48	Facility		$14.40	$23.19	$217.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $22.66 / $57.88	Professional		$14.40	$22.66	$57.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $26.55 / $98.76	Professional		$6.14	$26.55	$98.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $80.00 / $133.10	Facility		$43.72	$80.00	$133.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $33.19 / $59.48	Professional		$23.56	$33.19	$59.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $37.71 / $113.22	Professional		$22.62	$37.71	$113.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $17.50 / $52.68	Professional		$11.50	$17.50	$52.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $37.40 / $75.00	Professional		$31.65	$37.40	$75.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $155.94 / $177.65	Facility		$80.00	$155.94	$177.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $212.29 / $281.55	Professional		$212.29	$212.29	$281.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $32.34 / $70.00	Professional		$12.65	$32.34	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $40.40 / $55.29	Facility		$25.06	$40.40	$55.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $39.64 / $109.73	Professional		$22.62	$39.64	$109.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $115.64 / $115.64	Professional		$115.64	$115.64	$115.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $34.09 / $46.87	Professional		$17.23	$34.09	$46.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $35.72 / $83.51	Professional		$26.32	$35.72	$83.51