Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $206.05	Facility		$32.17	$32.17	$206.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $32.17 / $206.05	Professional		$24.15	$32.17	$206.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $100.63 / $226.68	Facility		$24.43	$100.63	$226.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $32.25 / $56.30	Professional		$29.53	$32.25	$56.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $99.00 / $150.97	Facility		$74.98	$99.00	$150.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $100.00 / $220.72	Professional		$38.60	$100.00	$220.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $39.15 / $39.15	Facility		$33.38	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $41.75	Professional		$28.59	$28.59	$41.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $34.36 / $78.55	Professional		$28.64	$34.36	$78.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $49.99 / $110.69	Professional		$42.85	$49.99	$110.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $339.20 / $339.20	Facility		$139.97	$339.20	$339.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.87 / $547.70 / $547.70	Professional		$534.87	$547.70	$547.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $214.45	Professional		$214.45	$214.45	$214.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $62.53 / $72.45	Facility		$17.25	$62.53	$72.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $67.97	Professional		$28.59	$39.15	$67.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $134.79 / $134.79	Professional		$134.79	$134.79	$134.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $48.69 / $57.13	Professional		$28.64	$48.69	$57.13
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $27.19 / $64.89	Professional		$24.26	$27.19	$64.89