Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $47.86	Facility		$36.31	$40.74	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $61.66	Professional		$33.11	$40.74	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $44.67 / $44.67	Professional	25	$36.31	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $141.25	Facility		$44.67	$56.23	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $114.82	Professional		$39.81	$58.88	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $128.82	Professional		$35.48	$48.98	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $117.49	Professional		$39.81	$51.29	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $47.86 / $54.95	Professional		$13.80	$47.86	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $87.10	Professional		$35.48	$45.71	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $57.54	Professional		$34.67	$34.67	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $83.18	Facility		$41.69	$58.88	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $117.49	Professional		$38.02	$53.70	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $47.86	Professional		$17.78	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $144.54	Professional		$34.67	$51.29	$144.54