Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $52.54 / $122.98	Facility		$23.88	$52.54	$122.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $75.17	Professional		$23.88	$24.12	$75.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $38.14 / $85.50	Facility		$25.59	$38.14	$85.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $30.71 / $119.63	Professional		$23.88	$30.71	$119.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $66.14 / $87.03	Facility		$44.00	$66.14	$87.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $27.20 / $75.27	Professional		$25.90	$27.20	$75.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $23.88	Facility		$22.53	$22.53	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.86	Professional		$23.88	$23.88	$35.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $60.82 / $82.11	Professional		$27.69	$60.82	$82.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $28.66 / $54.12	Professional		$21.49	$28.66	$54.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,290.10 / $3,290.10	Facility		$75.00	$3,290.10	$3,290.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $1,372.11 / $1,372.11	Professional		$724.00	$1,372.11	$1,372.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $124.68 / $124.68	Professional		$60.00	$124.68	$124.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $31.39 / $224.75	Facility		$23.88	$31.39	$224.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $68.31	Professional		$23.88	$23.88	$68.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $23.88 / $35.82	Professional		$19.10	$23.88	$35.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $47.94	Professional		$23.88	$23.88	$47.94