Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $185.61	Facility		$35.35	$35.35	$185.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $35.35 / $185.61	Professional		$28.11	$35.35	$185.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $97.55 / $204.20	Facility		$26.84	$97.55	$204.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $34.47 / $61.28	Professional		$32.14	$34.47	$61.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $95.50 / $135.96	Facility		$67.54	$95.50	$135.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $100.00 / $198.83	Professional		$34.77	$100.00	$198.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $51.10	Facility		$36.78	$36.78	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $76.50	Professional		$26.85	$26.85	$76.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $20.83 / $70.76	Professional		$17.36	$20.83	$70.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $45.03 / $97.78	Professional		$38.60	$45.03	$97.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.70 / $306.82 / $306.82	Facility		$110.70	$306.82	$306.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.67 / $331.67 / $482.48	Professional		$331.67	$331.67	$482.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $135.77 / $135.77	Professional		$135.77	$135.77	$135.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $56.33 / $66.23	Facility		$18.96	$56.33	$66.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $62.82	Professional		$26.85	$26.85	$62.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $121.42 / $121.42	Professional		$121.42	$121.42	$121.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $29.51 / $51.46	Professional		$17.36	$29.51	$51.46
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $78.48 / $78.48	Facility		$66.70	$78.48	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $29.36 / $64.90	Professional		$26.66	$29.36	$64.90