Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $43.05 / $216.60	Facility		$43.05	$43.05	$216.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $43.05 / $216.60	Professional		$31.31	$43.05	$216.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $115.08 / $238.29	Facility		$32.69	$115.08	$238.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $87.74	Professional		$43.10	$43.10	$87.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $100.00 / $158.69	Facility		$78.83	$100.00	$158.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $100.00 / $232.00	Professional		$40.57	$100.00	$232.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $52.95 / $52.95	Facility		$35.11	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $56.44	Professional		$38.65	$38.65	$56.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $28.50 / $82.58	Professional		$23.75	$28.50	$82.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $52.55 / $116.36	Professional		$45.04	$52.55	$116.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $377.30 / $377.30	Facility		$158.49	$377.30	$377.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.97 / $472.97 / $537.53	Professional		$472.97	$472.97	$537.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $195.87 / $195.87	Professional		$195.87	$195.87	$195.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $66.37 / $78.81	Facility		$23.08	$66.37	$78.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $70.09	Professional		$38.65	$52.95	$70.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $141.69	Professional		$141.69	$141.69	$141.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $40.38 / $60.06	Professional		$23.75	$40.38	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $37.45 / $107.02	Professional		$33.82	$37.45	$107.02