Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $177.83	Facility		$50.12	$79.43	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $72.44	Professional		$36.31	$37.15	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $112.20	Facility		$39.81	$45.71	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $69.18	Professional		$36.31	$38.02	$69.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $87.10	Facility		$47.86	$53.70	$87.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $87.10	Professional		$37.15	$43.65	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $37.15	Facility		$34.67	$34.67	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $41.69	Professional		$37.15	$37.15	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $48.98	Professional		$36.31	$40.74	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $74.13	Professional		$33.11	$40.74	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $69.18	Facility		$37.15	$42.66	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $51.29	Professional		$36.31	$36.31	$51.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $61.66	Professional		$28.84	$39.81	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $144.54 / $144.54	Facility		$37.15	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86