Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $72.15 / $171.83	Facility		$30.61	$72.15	$171.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $72.01	Professional		$29.50	$30.61	$72.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $54.72 / $122.72	Facility		$32.92	$54.72	$122.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $31.35 / $59.83	Professional		$27.66	$31.35	$59.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $33.40 / $53.48	Facility		$31.35	$33.40	$53.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $33.19 / $80.91	Professional		$33.19	$33.19	$80.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $37.03 / $49.99	Professional		$37.03	$37.03	$49.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $63.00 / $638.07	Professional		$36.00	$63.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $128.97 / $171.75	Facility		$43.54	$128.97	$171.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $678.95 / $678.95 / $678.95	Professional		$678.95	$678.95	$678.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $67.60 / $67.60	Professional		$32.97	$67.60	$67.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $30.61 / $33.54	Facility		$16.96	$30.61	$33.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $39.04	Professional		$31.35	$31.35	$39.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $61.13 / $61.13	Professional		$61.13	$61.13	$61.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $42.34 / $48.86	Professional		$32.57	$42.34	$48.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $54.86	Professional		$30.73	$30.73	$54.86