Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $18.71 / $183.91	Facility		$17.09	$18.71	$183.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $28.75 / $183.91	Professional		$17.98	$28.75	$183.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $23.52 / $62.18	Facility		$19.53	$23.52	$62.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $27.15 / $59.29	Professional		$27.15	$27.15	$59.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $87.24 / $134.78	Facility		$67.14	$87.24	$134.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $100.00 / $197.02	Professional		$34.45	$100.00	$197.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $61.93	Facility		$34.71	$38.29	$61.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $45.05	Professional		$32.54	$32.54	$45.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $63.75 / $76.50	Professional		$51.00	$63.75	$76.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $44.63 / $98.81	Professional		$38.25	$44.63	$98.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $302.81 / $302.81	Facility		$129.41	$302.81	$302.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $328.19 / $406.43	Professional		$320.49	$328.19	$406.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $56.36 / $64.61	Facility		$17.46	$56.36	$64.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $38.29 / $56.43	Professional		$32.54	$38.29	$56.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $120.31 / $120.31	Professional		$120.31	$120.31	$120.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $59.04 / $76.75	Professional		$51.00	$59.04	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $27.03 / $60.49	Professional		$24.27	$27.03	$60.49