Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $35.61 / $186.86	Facility		$24.31	$35.61	$186.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $35.61 / $69.28	Professional		$22.44	$35.61	$69.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $32.01 / $77.14	Facility		$25.08	$32.01	$77.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $36.19 / $37.72	Professional		$32.38	$36.19	$37.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.01 / $95.50 / $136.91	Facility		$68.01	$95.50	$136.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $68.61 / $163.69	Professional		$35.00	$68.61	$163.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $51.45	Facility		$38.15	$38.15	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $47.25	Professional		$32.43	$32.43	$47.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $34.61 / $41.54	Professional		$16.52	$34.61	$41.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $37.25 / $82.49	Professional		$12.85	$37.25	$82.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $181.21 / $181.21	Facility		$79.98	$181.21	$181.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $276.89 / $276.89	Professional		$275.95	$276.89	$276.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $117.34 / $117.34	Professional		$117.34	$117.34	$117.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $19.10 / $44.88	Facility		$18.36	$19.10	$44.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $32.43 / $42.22	Professional		$28.78	$32.43	$42.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $122.23 / $122.23	Professional		$122.23	$122.23	$122.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $34.61 / $45.01	Professional		$14.69	$34.61	$45.01
United Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $64.78 / $64.78	Facility		$55.06	$64.78	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $29.59 / $58.39	Professional		$25.07	$29.59	$58.39