Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $23.02 / $120.83	Facility		$23.02	$23.02	$120.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $23.02 / $120.83	Professional		$18.29	$23.02	$120.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $63.53 / $132.94	Facility		$17.48	$63.53	$132.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $22.44 / $39.90	Professional		$20.93	$22.44	$39.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $60.61 / $90.18	Facility		$43.04	$60.61	$90.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $75.56 / $129.43	Professional		$22.63	$75.56	$129.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $33.26	Facility		$26.67	$26.67	$33.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $19.47 / $28.44	Professional		$19.47	$19.47	$28.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.55 / $46.07	Professional		$7.96	$9.55	$46.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $29.32 / $63.66	Professional		$25.13	$29.32	$63.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $199.79 / $199.79	Facility		$85.00	$199.79	$199.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $215.93 / $314.10	Professional		$215.93	$215.93	$314.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $36.67 / $43.14	Facility		$12.34	$36.67	$43.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $39.86	Professional		$19.47	$26.67	$39.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $79.04	Professional		$79.04	$79.04	$79.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $13.53 / $33.50	Professional		$7.96	$13.53	$33.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $19.46 / $39.74	Professional		$17.36	$19.46	$39.74