Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $18.52 / $182.07	Facility		$16.91	$18.52	$182.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $28.45 / $182.07	Professional		$17.79	$28.45	$182.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $34.88 / $92.23	Facility		$28.96	$34.88	$92.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $40.26 / $58.68	Professional		$28.45	$40.26	$58.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $86.35 / $133.40	Facility		$66.45	$86.35	$133.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $100.00 / $195.01	Professional		$34.11	$100.00	$195.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $50.13	Facility		$37.90	$37.90	$50.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $46.83	Professional		$32.22	$32.22	$46.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $63.10 / $75.72	Professional		$50.48	$63.10	$75.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $44.17 / $97.81	Professional		$37.86	$44.17	$97.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $299.73 / $299.73	Facility		$128.09	$299.73	$299.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $314.24 / $473.25	Professional		$314.24	$314.24	$473.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $129.35 / $129.35	Professional		$129.35	$129.35	$129.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $55.79 / $63.95	Facility		$17.28	$55.79	$63.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $57.57	Professional		$32.22	$37.90	$57.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $119.10 / $119.10	Professional		$119.10	$119.10	$119.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Professional		$50.48	$50.48	$50.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $26.76 / $63.10	Professional		$24.02	$26.76	$63.10