Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $194.98	Facility		$12.02	$12.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $173.78	Professional		$14.13	$28.84	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $93.33	Facility		$21.88	$28.18	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $54.95	Professional		$25.12	$25.12	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $100.00	Facility		$45.71	$75.86	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $144.54	Professional		$48.98	$83.18	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Facility		$28.84	$28.84	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $54.95	Professional		$20.89	$25.12	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $75.86	Professional		$28.18	$41.69	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $338.84	Professional		$223.87	$338.84	$338.84
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 $12.02 / $39.81 / $57.54	Facility		$12.02	$39.81	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $44.67	Professional		$21.38	$21.38	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $41.69	Professional		$20.89	$31.62	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $19.50 / $30.90	Facility		$3.24	$19.50	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $44.67	Professional		$18.20	$21.38	$44.67