Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $50.78 / $199.33	Facility		$25.20	$50.78	$199.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.96 / $54.79	Professional		$25.20	$25.96	$54.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $27.59 / $36.29	Facility		$21.95	$27.59	$36.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.20 / $111.98	Professional		$23.50	$25.20	$111.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $41.95 / $63.49	Facility		$37.47	$41.95	$63.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $28.76 / $76.64	Professional		$27.39	$28.76	$76.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $25.20	Facility		$23.78	$23.78	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $32.10	Professional		$25.20	$25.20	$32.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $25.07 / $33.84	Professional		$24.62	$25.07	$33.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $30.24 / $56.70	Professional		$22.68	$30.24	$56.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $866.62 / $866.62	Facility		$75.00	$866.62	$866.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $565.38 / $587.99	Professional		$464.00	$565.38	$587.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $51.39 / $60.00	Professional		$25.07	$51.39	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $32.04 / $66.67	Facility		$25.20	$32.04	$66.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $34.95	Professional		$25.20	$25.20	$34.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Professional		$46.83	$46.83	$46.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.20 / $37.81	Professional		$20.16	$25.20	$37.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $49.47	Professional		$25.20	$25.20	$49.47