Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $15.31 / $150.49	Facility		$13.98	$15.31	$150.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $23.52 / $150.49	Professional		$15.31	$23.52	$150.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $22.64 / $59.86	Facility		$18.80	$22.64	$59.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $26.13 / $48.51	Professional		$26.13	$26.13	$48.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $71.38 / $110.27	Facility		$54.94	$71.38	$110.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $94.13 / $161.22	Professional		$28.19	$94.13	$161.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $34.45 / $37.33	Facility		$29.86	$34.45	$37.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $34.45	Professional		$21.28	$29.28	$34.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $52.16 / $62.59	Professional		$41.73	$52.16	$62.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $36.51 / $80.84	Professional		$31.30	$36.51	$80.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $247.76 / $247.76	Facility		$105.88	$247.76	$247.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $259.76 / $259.76 / $391.20	Professional		$259.76	$259.76	$391.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $106.92 / $106.92	Professional		$106.92	$106.92	$106.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $46.12 / $52.16	Facility		$14.28	$46.12	$52.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $44.34	Professional		$21.28	$29.28	$44.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $98.44 / $98.44	Professional		$98.44	$98.44	$98.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Professional		$41.73	$41.73	$41.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $22.12 / $51.24	Professional		$20.09	$22.12	$51.24