Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $16.11 / $158.37	Facility		$14.71	$16.11	$158.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $25.60 / $158.37	Professional		$14.71	$25.60	$158.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $20.52 / $34.71	Facility		$17.23	$20.52	$34.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $51.05	Professional		$23.57	$23.57	$51.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $80.92 / $116.02	Facility		$57.63	$80.92	$116.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $100.00 / $176.71	Professional		$63.83	$100.00	$176.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $60.38 / $74.09	Professional		$54.89	$60.38	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $68.61 / $126.25	Professional		$36.00	$68.61	$126.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $258.29 / $260.73	Facility		$85.76	$258.29	$260.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $273.35 / $411.68	Professional		$273.35	$273.35	$411.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $54.89 / $75.20	Facility		$39.28	$54.89	$75.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $58.69	Professional		$28.02	$28.02	$58.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $103.60 / $103.60	Professional		$103.60	$103.60	$103.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $39.81 / $49.40	Professional		$36.19	$39.81	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $24.74 / $76.97	Professional		$21.52	$24.74	$76.97