Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $40.28 / $211.43	Facility		$40.28	$40.28	$211.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $40.28 / $211.43	Professional		$32.02	$40.28	$211.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $111.18 / $232.58	Facility		$30.59	$111.18	$232.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $40.85 / $69.81	Professional		$36.61	$40.85	$69.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $100.00 / $154.91	Facility		$76.95	$100.00	$154.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $100.00 / $226.47	Professional		$39.60	$100.00	$226.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $58.21	Facility		$41.91	$41.91	$58.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $43.17	Professional		$30.59	$30.59	$43.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.36 / $80.59	Professional		$17.80	$21.36	$80.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $51.29 / $111.37	Professional		$40.00	$51.29	$111.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $349.60 / $349.60	Facility		$126.12	$349.60	$349.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $549.53	Professional		$378.23	$378.23	$549.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.73 / $154.73 / $154.73	Professional		$154.73	$154.73	$154.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $64.78 / $75.48	Facility		$21.60	$64.78	$75.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $69.73	Professional		$30.59	$41.91	$69.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $138.31 / $138.31	Professional		$138.31	$138.31	$138.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.26 / $58.62	Professional		$17.80	$30.26	$58.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $33.46 / $69.72	Professional		$30.94	$33.46	$69.72