Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $129.50	Facility		$24.66	$24.66	$129.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $24.66 / $125.30	Professional		$19.61	$24.66	$125.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $68.06 / $142.46	Facility		$18.73	$68.06	$142.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $24.25 / $42.73	Professional		$22.42	$24.25	$42.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $67.28 / $100.00	Facility		$47.13	$67.28	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $80.98 / $138.69	Professional		$24.26	$80.98	$138.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $35.65	Facility		$27.10	$27.10	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $53.25	Professional		$19.78	$19.78	$53.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $5.92 / $49.37	Professional		$4.93	$5.92	$49.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $31.42 / $68.22	Professional		$26.93	$31.42	$68.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $214.06 / $214.06	Facility		$85.00	$214.06	$214.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $231.57 / $336.60	Professional		$231.57	$231.57	$336.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $94.73 / $94.73	Professional		$94.73	$94.73	$94.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $39.29 / $46.21	Facility		$13.23	$39.29	$46.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $44.26	Professional		$19.78	$27.10	$44.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $84.71 / $84.71	Professional		$84.71	$84.71	$84.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $8.38 / $35.90	Professional		$4.93	$8.38	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $20.49 / $43.28	Professional		$18.94	$20.49	$43.28