Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $302.00	Facility		$37.15	$37.15	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $263.03	Professional		$30.20	$38.02	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $154.88	Facility		$28.84	$36.31	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $85.11	Professional		$38.02	$38.02	$85.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $162.18	Facility		$72.44	$120.23	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $223.87	Professional		$75.86	$128.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Professional		$28.84	$28.84	$38.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $85.11	Professional		$15.14	$19.05	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $114.82	Professional		$41.69	$63.10	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $512.86	Professional		$354.81	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $64.57 / $87.10	Facility		$20.42	$64.57	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $67.61	Professional		$28.84	$28.84	$67.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $63.10	Professional		$15.14	$22.91	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $30.90 / $85.11	Facility		$5.25	$30.90	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $69.18	Professional		$28.84	$34.67	$69.18