Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $42.67 / $119.65	Facility		$21.70	$42.67	$119.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.92 / $52.92	Professional		$21.70	$21.92	$52.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $34.65 / $77.70	Facility		$21.64	$34.65	$77.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.70 / $85.96	Professional		$19.76	$21.70	$85.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $67.34 / $114.36	Facility		$39.94	$67.34	$114.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $24.72 / $73.75	Professional		$23.54	$24.72	$73.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $20.47 / $21.70	Facility		$20.47	$20.47	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $30.71	Professional		$21.70	$21.70	$30.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $26.40 / $31.75	Professional		$23.52	$26.40	$31.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $26.04 / $55.34	Professional		$19.53	$26.04	$55.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $1,715.88 / $1,715.88	Facility		$80.48	$1,715.88	$1,715.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.68 / $933.68 / $933.68	Professional		$933.68	$933.68	$933.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $48.21 / $60.00	Professional		$23.52	$48.21	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $24.11 / $53.76	Facility		$21.70	$24.11	$53.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $39.54	Professional		$21.70	$21.70	$39.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $78.03 / $78.03	Professional		$78.03	$78.03	$78.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $21.70 / $32.54	Professional		$17.36	$21.70	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $42.60	Professional		$21.70	$21.70	$42.60