Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $218.78	Facility		$26.92	$26.92	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $173.78	Professional		$21.88	$28.84	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.92 / $114.82	Facility		$21.38	$26.92	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $63.10	Professional		$27.54	$27.54	$63.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $89.13 / $120.23	Facility		$53.70	$89.13	$120.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $162.18	Professional		$56.23	$95.50	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $34.67	Facility		$30.20	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $61.66	Professional		$16.60	$20.89	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $91.20	Professional		$32.36	$46.77	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $380.19	Professional		$263.03	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $46.77 / $64.57	Facility		$15.85	$46.77	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $50.12	Professional		$25.70	$25.70	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $46.77	Professional		$16.60	$25.12	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $22.91 / $63.10	Facility		$3.80	$22.91	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $51.29	Professional		$21.38	$25.12	$51.29