Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $32.06 / $168.16	Facility		$32.06	$32.06	$168.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $32.06 / $168.16	Professional		$25.47	$32.06	$168.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $88.50 / $185.03	Facility		$24.35	$88.50	$185.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $31.94 / $55.58	Professional		$29.16	$31.94	$55.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.22 / $85.96 / $123.25	Facility		$61.22	$85.96	$123.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $100.00 / $180.14	Professional		$31.50	$100.00	$180.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $46.31	Facility		$43.99	$43.99	$46.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $46.90	Professional		$32.11	$32.11	$46.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $22.85 / $64.12	Professional		$19.04	$22.85	$64.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $40.79 / $88.60	Professional		$34.97	$40.79	$88.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $278.23 / $278.23	Facility		$100.40	$278.23	$278.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.94 / $300.94 / $437.18	Professional		$300.94	$300.94	$437.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $180.42 / $180.42	Professional		$180.42	$180.42	$180.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $55.07 / $61.20	Facility		$17.19	$55.07	$61.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $43.99 / $55.48	Professional		$32.11	$43.99	$55.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Professional		$110.00	$110.00	$110.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $32.36 / $46.63	Professional		$19.04	$32.36	$46.63
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $26.67 / $58.80	Professional		$24.62	$26.67	$58.80