Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $21.44 / $137.34	Facility		$21.44	$21.44	$137.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $21.44 / $137.34	Professional		$16.87	$21.44	$137.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $67.08 / $151.10	Facility		$16.28	$67.08	$151.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $21.57 / $39.58	Professional		$17.42	$21.57	$39.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $68.92 / $100.65	Facility		$48.92	$68.92	$100.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $85.90 / $147.12	Professional		$25.73	$85.90	$147.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $23.10 / $25.45	Facility		$22.25	$23.10	$25.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $24.63	Professional		$16.86	$16.86	$24.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $13.38 / $52.36	Professional		$11.15	$13.38	$52.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $33.32 / $73.78	Professional		$28.56	$33.32	$73.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $190.57 / $226.10	Facility		$85.00	$190.57	$226.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $301.27 / $315.38	Professional		$294.20	$301.27	$315.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $107.23 / $107.23	Professional		$107.23	$107.23	$107.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $39.45 / $48.30	Facility		$11.50	$39.45	$48.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $38.49	Professional		$16.86	$23.10	$38.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Professional		$89.84	$89.84	$89.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.96 / $38.08	Professional		$11.15	$18.96	$38.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $17.80 / $46.06	Professional		$16.47	$17.80	$46.06