Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $52.96 / $123.39	Facility		$21.98	$52.96	$123.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $58.85	Professional		$21.18	$21.98	$58.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $37.36 / $84.05	Facility		$23.41	$37.36	$84.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.51 / $45.28	Professional		$22.07	$22.51	$45.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $25.20 / $48.36	Facility		$22.51	$25.20	$48.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $24.56 / $59.93	Professional		$23.84	$24.56	$59.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $39.76	Facility		$22.51	$22.51	$39.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $26.48	Professional		$22.07	$22.07	$26.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $58.00 / $638.07	Professional		$32.00	$58.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $116.95 / $116.95	Facility		$75.00	$116.95	$116.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $100.62 / $119.16	Professional		$100.62	$100.62	$119.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $47.94	Professional		$47.94	$47.94	$47.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $23.39 / $29.24	Facility		$21.98	$23.39	$29.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $29.24	Professional		$22.51	$22.51	$29.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Professional		$39.97	$39.97	$39.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $28.69 / $33.11	Professional		$22.07	$28.69	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $42.49	Professional		$22.07	$22.07	$42.49