Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $19.51 / $191.82	Facility		$17.82	$19.51	$191.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $29.98 / $191.82	Professional		$19.51	$29.98	$191.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $28.85 / $76.29	Facility		$23.96	$28.85	$76.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $61.83	Professional		$33.31	$33.31	$61.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.02 / $92.00 / $140.55	Facility		$70.02	$92.00	$140.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $100.00 / $205.47	Professional		$35.93	$100.00	$205.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $39.94 / $57.04	Facility		$38.06	$39.94	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $46.30	Professional		$33.95	$33.95	$46.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $66.48 / $79.78	Professional		$53.18	$66.48	$79.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $46.54 / $103.04	Professional		$39.89	$46.54	$103.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $315.77 / $315.77	Facility		$134.94	$315.77	$315.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.07 / $331.07 / $498.60	Professional		$331.07	$331.07	$498.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $136.28 / $136.28	Professional		$136.28	$136.28	$136.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $58.78 / $66.48	Facility		$18.20	$58.78	$66.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $39.94 / $60.65	Professional		$33.95	$39.94	$60.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $125.48 / $125.48	Professional		$125.48	$125.48	$125.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $53.18 / $53.18	Professional		$53.18	$53.18	$53.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $28.19 / $66.48	Professional		$25.31	$28.19	$66.48