Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $323.59	Facility		$42.66	$42.66	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $288.40	Professional		$30.90	$44.67	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $177.83	Facility		$32.36	$41.69	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $97.72	Professional		$42.66	$42.66	$97.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $177.83	Facility		$79.43	$131.83	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $239.88	Professional		$83.18	$141.25	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $52.48	Facility		$35.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $91.20	Professional		$23.99	$29.51	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $134.90	Professional		$47.86	$69.18	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $537.03	Professional		$467.74	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $72.44 / $97.72	Facility		$24.55	$72.44	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $72.44	Professional		$38.90	$38.90	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $69.18	Professional		$23.99	$35.48	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $35.48 / $97.72	Facility		$5.89	$35.48	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $75.86	Professional		$33.11	$38.90	$75.86