Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $58.48 / $130.27	Facility		$26.71	$58.48	$130.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $86.46	Professional		$26.71	$26.98	$86.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $42.66 / $95.64	Facility		$28.63	$42.66	$95.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $33.51 / $76.15	Professional		$26.71	$33.51	$76.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $60.15 / $100.00	Facility		$51.13	$60.15	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $28.58 / $85.28	Professional		$27.22	$28.58	$85.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $26.71	Facility		$25.20	$25.20	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $37.79	Professional		$26.71	$26.71	$37.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $30.32 / $39.85	Professional		$29.52	$30.32	$39.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $32.04 / $66.78	Professional		$24.04	$32.04	$66.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.47 / $224.95 / $224.95	Facility		$82.47	$224.95	$224.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.12 / $1,801.12 / $1,801.12	Professional		$1,801.12	$1,801.12	$1,801.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $60.51 / $60.51	Professional		$29.52	$60.51	$60.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $31.68 / $68.54	Facility		$26.71	$31.68	$68.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $41.33	Professional		$26.71	$26.71	$41.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $80.08 / $80.08	Professional		$80.08	$80.08	$80.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $26.71 / $40.07	Professional		$21.37	$26.71	$40.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $53.90	Professional		$26.71	$26.71	$53.90