Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $12.61 / $123.95	Facility		$11.52	$12.61	$123.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $19.37 / $123.95	Professional		$12.61	$19.37	$123.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.64 / $49.32	Facility		$15.49	$18.64	$49.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $39.95	Professional		$21.53	$21.53	$39.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $58.79 / $90.83	Facility		$45.25	$58.79	$90.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $77.51 / $132.77	Professional		$23.22	$77.51	$132.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $25.81 / $36.84	Facility		$24.60	$25.81	$36.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $29.33	Professional		$21.94	$21.94	$29.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.96 / $51.55	Professional		$34.36	$42.96	$51.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $30.07 / $66.59	Professional		$25.78	$30.07	$66.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $204.06 / $204.06	Facility		$87.21	$204.06	$204.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $213.94 / $322.20	Professional		$213.94	$213.94	$322.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $88.06 / $88.06	Professional		$88.06	$88.06	$88.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $37.97 / $42.96	Facility		$11.76	$37.97	$42.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $25.81 / $40.89	Professional		$21.94	$25.81	$40.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $81.08 / $81.08	Professional		$81.08	$81.08	$81.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.36 / $34.36	Professional		$34.36	$34.36	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.22 / $41.57	Professional		$16.55	$18.22	$41.57