Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $37.45 / $207.44	Facility		$37.45	$37.45	$207.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $37.45 / $207.44	Professional		$29.00	$37.45	$207.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $103.78 / $228.23	Facility		$28.44	$103.78	$228.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $36.97 / $66.17	Professional		$30.74	$36.97	$66.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $99.00 / $152.02	Facility		$75.51	$99.00	$152.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $100.00 / $222.21	Professional		$38.86	$100.00	$222.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $40.77 / $40.77	Facility		$33.63	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $73.13	Professional		$29.76	$29.76	$73.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $34.97 / $79.09	Professional		$29.15	$34.97	$79.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $50.33 / $111.45	Professional		$43.14	$50.33	$111.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.97 / $341.53 / $341.53	Facility		$127.97	$341.53	$341.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.90 / $398.90 / $467.55	Professional		$398.90	$398.90	$467.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $132.38 / $132.38	Professional		$132.38	$132.38	$132.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $63.02 / $71.90	Facility		$20.07	$63.02	$71.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $69.26	Professional		$29.76	$29.76	$69.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $135.69 / $135.69	Professional		$135.69	$135.69	$135.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $49.56 / $57.52	Professional		$29.15	$49.56	$57.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.10 / $68.23	Professional		$28.76	$31.10	$68.23