Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $302.00	Facility		$18.20	$19.95	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $269.15	Professional		$20.89	$44.67	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $42.66 / $107.15	Facility		$33.11	$42.66	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Professional		$44.67	$44.67	$79.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $147.91	Facility		$72.44	$97.72	$147.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $223.87	Professional		$77.62	$131.83	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Facility		$38.02	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $32.36	Professional		$28.18	$32.36	$32.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $95.50	Professional		$57.54	$77.62	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $125.89	Professional		$44.67	$64.57	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $524.81	Professional		$346.74	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $66.07 / $93.33	Facility		$19.95	$66.07	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $51.29	Professional		$28.84	$32.36	$51.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $64.57	Professional		$57.54	$57.54	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $26.92 / $44.67	Facility		$4.90	$26.92	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $70.79	Professional		$26.30	$31.62	$70.79