Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $41.90 / $243.32	Facility		$41.90	$41.90	$243.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $41.90 / $243.32	Professional		$34.52	$41.90	$243.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $121.72 / $267.69	Facility		$31.82	$121.72	$267.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $41.79 / $67.78	Professional		$35.54	$41.79	$67.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.56 / $100.00 / $178.28	Facility		$88.56	$100.00	$178.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $111.88 / $260.64	Professional		$45.58	$111.88	$260.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $43.58 / $45.07	Facility		$39.40	$43.58	$45.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $44.89	Professional		$31.81	$31.81	$44.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $29.57 / $92.76	Professional		$24.64	$29.57	$92.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $59.03 / $130.71	Professional		$50.60	$59.03	$130.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $400.57 / $400.57	Facility		$147.94	$400.57	$400.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.11 / $446.11 / $561.53	Professional		$446.11	$446.11	$561.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $153.87 / $153.87	Professional		$153.87	$153.87	$153.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $70.81 / $84.33	Facility		$22.47	$70.81	$84.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $43.58 / $70.23	Professional		$31.81	$43.58	$70.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $159.16 / $159.16	Professional		$159.16	$159.16	$159.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $41.89 / $67.45	Professional		$24.64	$41.89	$67.45
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $34.79 / $75.15	Professional		$32.18	$34.79	$75.15