Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $35.01 / $221.80	Facility		$35.01	$35.01	$221.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $35.01 / $221.80	Professional		$28.85	$35.01	$221.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $108.34 / $244.04	Facility		$26.59	$108.34	$244.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $34.78 / $57.78	Professional		$30.32	$34.78	$57.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $100.00 / $162.52	Facility		$80.73	$100.00	$162.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $102.01 / $237.60	Professional		$41.55	$102.01	$237.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $38.57 / $41.09	Facility		$35.93	$38.57	$41.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $72.00	Professional		$28.16	$28.16	$72.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.83 / $84.57	Professional		$27.36	$32.83	$84.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $53.82 / $119.16	Professional		$46.13	$53.82	$119.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $365.18 / $365.18	Facility		$126.12	$365.18	$365.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $384.66 / $384.66 / $582.83	Professional		$384.66	$384.66	$582.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $233.37 / $233.37	Professional		$233.37	$233.37	$233.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $65.34 / $77.70	Facility		$18.77	$65.34	$77.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $73.97	Professional		$28.16	$28.16	$73.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $145.09 / $145.09	Professional		$145.09	$145.09	$145.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $46.51 / $61.50	Professional		$27.36	$46.51	$61.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $26.28 / $28.82	Facility		$18.28	$26.28	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $29.13 / $76.88	Professional		$26.89	$29.13	$76.88