Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $208.93	Facility		$12.02	$14.13	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.92 / $186.21	Professional		$14.13	$26.92	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.42 / $51.29	Facility		$16.22	$20.42	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $56.23	Professional		$21.38	$21.38	$56.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $102.33	Facility		$51.29	$70.79	$102.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $154.88	Professional		$53.70	$91.20	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.84 / $34.67	Facility		$27.54	$28.84	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.84	Professional		$24.55	$24.55	$28.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $66.07	Professional		$39.81	$48.98	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $87.10	Professional		$26.92	$44.67	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $323.59	Professional		$257.04	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $43.65 / $61.66	Facility		$13.80	$43.65	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $46.77	Professional		$24.55	$24.55	$46.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $56.23	Professional		$33.11	$43.65	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $18.62 / $21.88	Facility		$3.39	$18.62	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $48.98	Professional		$18.62	$21.88	$48.98