Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $26.87 / $172.11	Facility		$26.87	$26.87	$172.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $26.87 / $172.11	Professional		$20.37	$26.87	$172.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $84.07 / $189.38	Facility		$20.41	$84.07	$189.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.20 / $42.61	Professional		$22.35	$26.20	$42.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $87.96 / $126.12	Facility		$62.64	$87.96	$126.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $100.00 / $184.37	Professional		$32.24	$100.00	$184.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $29.64 / $31.89	Facility		$27.90	$29.64	$31.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $53.25	Professional		$21.64	$21.64	$53.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $38.27 / $65.63	Professional		$31.89	$38.27	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $41.76 / $92.47	Professional		$35.79	$41.76	$92.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $283.39 / $283.39	Facility		$120.75	$283.39	$283.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $461.43 / $472.50 / $472.50	Professional		$461.43	$472.50	$472.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $107.85 / $107.85	Professional		$107.85	$107.85	$107.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $51.55 / $60.52	Facility		$14.41	$51.55	$60.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $54.08	Professional		$21.64	$21.64	$54.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $112.59 / $112.59	Professional		$112.59	$112.59	$112.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.73 / $47.84	Professional		$31.89	$47.73	$47.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $22.32 / $56.61	Professional		$20.27	$22.32	$56.61