Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $194.98	Facility		$23.99	$23.99	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $173.78	Professional		$19.05	$25.70	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $102.33	Facility		$18.62	$23.99	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $48.98	Professional		$23.99	$25.12	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $104.71	Facility		$46.77	$77.62	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $144.54	Professional		$50.12	$85.11	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Professional		$19.95	$19.95	$26.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.17 / $54.95	Professional		$4.90	$6.17	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $75.86	Professional		$27.54	$40.74	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $338.84	Professional		$229.09	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $41.69 / $57.54	Facility		$13.49	$41.69	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $43.65	Professional		$19.95	$19.95	$43.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $40.74	Professional		$4.90	$7.41	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $20.42 / $56.23	Facility		$3.39	$20.42	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $45.71	Professional		$19.05	$22.39	$45.71