Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $37.82 / $198.48	Facility		$37.82	$37.82	$198.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $37.82 / $60.41	Professional		$32.47	$37.82	$60.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $104.42 / $218.33	Facility		$28.73	$104.42	$218.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $38.36 / $65.59	Professional		$34.40	$38.36	$65.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $99.00 / $145.47	Facility		$72.26	$99.00	$145.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $100.00 / $212.60	Professional		$37.18	$100.00	$212.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $54.66	Facility		$39.35	$39.35	$54.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $40.53	Professional		$28.73	$28.73	$40.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $18.32 / $75.66	Professional		$15.27	$18.32	$75.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.15 / $104.55	Professional		$40.00	$48.15	$104.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.49 / $328.21 / $328.21	Facility		$118.49	$328.21	$328.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.92 / $354.92 / $515.85	Professional		$354.92	$354.92	$515.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $145.26 / $145.26	Professional		$145.26	$145.26	$145.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $60.23 / $70.86	Facility		$20.28	$60.23	$70.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.34 / $65.47	Professional		$28.73	$39.34	$65.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $129.84 / $129.84	Professional		$129.84	$129.84	$129.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $25.96 / $55.02	Professional		$15.27	$25.96	$55.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $31.42 / $66.56	Professional		$28.53	$31.42	$66.56