Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $288.40	Facility		$28.84	$28.84	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $251.19	Professional		$21.88	$30.20	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $131.83	Facility		$22.39	$28.84	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $72.44	Professional		$30.20	$30.20	$72.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $154.88	Facility		$69.18	$114.82	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $213.80	Professional		$74.13	$123.03	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Facility		$30.90	$30.90	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $30.90	Professional		$22.39	$22.39	$30.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $81.28	Professional		$18.62	$23.44	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $117.49	Professional		$40.74	$60.26	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $407.38	Professional		$316.23	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.95 / $81.28	Facility		$18.20	$54.95	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $47.86	Professional		$22.39	$22.39	$47.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $60.26	Professional		$18.62	$28.18	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $24.55 / $67.61	Facility		$4.07	$24.55	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $66.07	Professional		$22.91	$28.84	$66.07