Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $20.47 / $201.26	Facility		$18.69	$20.47	$201.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $31.45 / $201.26	Professional		$20.47	$31.45	$201.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $38.64 / $102.16	Facility		$32.08	$38.64	$102.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $44.60 / $64.87	Professional		$29.95	$44.60	$64.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $96.52 / $147.44	Facility		$73.45	$96.52	$147.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $100.00 / $215.60	Professional		$37.70	$100.00	$215.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $49.91	Facility		$37.70	$37.70	$49.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $37.70	Professional		$28.46	$32.04	$37.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $69.75 / $83.70	Professional		$55.80	$69.75	$83.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $48.83 / $108.11	Professional		$41.85	$48.83	$108.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $331.31 / $331.31	Facility		$141.59	$331.31	$331.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $347.36 / $523.13	Professional		$347.36	$347.36	$523.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $142.98	Professional		$32.34	$32.34	$142.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $61.66 / $69.75	Facility		$19.09	$61.66	$69.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $59.29	Professional		$28.46	$32.04	$59.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $131.66 / $131.66	Professional		$131.66	$131.66	$131.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Professional		$55.80	$55.80	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $29.58 / $67.48	Professional		$26.56	$29.58	$67.48