Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $19.30 / $166.49	Facility		$17.62	$19.30	$166.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $28.33 / $166.49	Professional		$17.62	$28.33	$166.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $9.27 / $15.71	Facility		$7.80	$9.27	$15.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $80.00 / $80.00	Professional		$46.98	$80.00	$80.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $100.00 / $185.79	Professional		$67.11	$100.00	$185.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $57.71 / $77.91	Professional		$36.65	$57.71	$77.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $72.14 / $132.72	Professional		$34.63	$72.14	$132.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $120.07 / $275.37	Facility		$92.88	$120.07	$275.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $298.10 / $432.83	Professional		$298.10	$298.10	$432.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $121.83 / $121.83	Professional		$121.83	$121.83	$121.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $57.71 / $79.06	Facility		$42.00	$57.71	$79.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $61.71	Professional		$31.73	$31.73	$61.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $108.91 / $108.91	Professional		$108.91	$108.91	$108.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $40.33 / $51.94	Professional		$36.65	$40.33	$51.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $28.53 / $74.79	Professional		$25.18	$28.53	$74.79