Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $147.91	Facility		$18.20	$18.20	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $131.83	Professional		$14.13	$18.20	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $77.62	Facility		$14.45	$18.20	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Professional		$19.05	$19.05	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $60.26 / $81.28	Facility		$36.31	$60.26	$81.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $109.65	Professional		$38.02	$64.57	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $23.44	Professional		$17.38	$17.38	$23.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $41.69	Professional		$6.17	$7.76	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $57.54	Professional		$22.91	$31.62	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $257.04	Professional		$177.83	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.11 / $43.65	Facility		$10.72	$33.11	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $33.88	Professional		$17.38	$17.38	$33.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $31.62	Professional		$6.17	$9.33	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $15.49 / $42.66	Facility		$2.57	$15.49	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $34.67	Professional		$14.45	$16.98	$34.67