Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.05 / $251.19	Facility		$16.98	$19.05	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $218.78	Professional		$19.95	$38.90	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.00 / $25.12	Facility		$7.94	$10.00	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $125.89	Professional		$31.62	$72.44	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $208.93	Professional		$69.18	$107.15	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $75.86	Professional		$36.31	$58.88	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $128.82	Professional		$34.67	$58.88	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $436.52	Professional		$295.12	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $85.11	Facility		$34.67	$58.88	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $56.23	Professional		$31.62	$31.62	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $61.66	Professional		$36.31	$46.77	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $57.54	Professional		$25.12	$28.84	$57.54