Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $32.36 / $436.52	Facility		$28.84	$32.36	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $380.19	Professional		$32.36	$57.54	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.71 / $39.81	Facility		$6.92	$8.71	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $107.15	Professional		$51.29	$51.29	$107.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $177.83 / $234.42	Facility		$97.72	$177.83	$234.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $323.59	Professional		$100.00	$186.21	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $138.04	Professional		$81.28	$112.20	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $165.96	Professional		$61.66	$91.20	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $741.31	Professional		$512.86	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $134.90	Facility		$30.90	$102.33	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $102.33	Professional		$44.67	$44.67	$102.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Professional		$81.28	$81.28	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $44.67 / $123.03	Facility		$7.59	$44.67	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $102.33	Professional		$42.66	$50.12	$102.33