Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.19 / $116.42	Facility		$22.19	$22.19	$116.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $22.19 / $116.42	Professional		$17.63	$22.19	$116.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $61.24 / $128.08	Facility		$16.85	$61.24	$128.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $20.19 / $38.49	Professional		$13.31	$20.19	$38.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $58.43 / $86.89	Facility		$41.47	$58.43	$86.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $72.81 / $124.72	Professional		$21.81	$72.81	$124.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $32.06	Facility		$23.09	$23.09	$32.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $24.61	Professional		$16.86	$16.86	$24.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.92 / $44.39	Professional		$4.09	$4.92	$44.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $28.25 / $61.33	Professional		$24.21	$28.25	$61.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $192.63 / $192.63	Facility		$84.02	$192.63	$192.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $208.46 / $302.63	Professional		$208.46	$208.46	$302.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $85.23 / $85.23	Professional		$85.23	$85.23	$85.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $35.68 / $41.58	Facility		$11.90	$35.68	$41.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $38.40	Professional		$16.86	$23.09	$38.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $76.15 / $76.15	Professional		$76.15	$76.15	$76.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $6.97 / $32.28	Professional		$4.09	$6.97	$32.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $18.76 / $38.33	Professional		$16.73	$18.76	$38.33