Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $162.18	Facility		$19.95	$19.95	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $144.54	Professional		$15.85	$19.95	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $85.11	Facility		$15.49	$19.95	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $46.77	Professional		$20.89	$20.89	$46.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $87.10	Facility		$38.90	$64.57	$87.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $120.23	Professional		$41.69	$70.79	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $45.71	Professional		$8.32	$10.47	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $63.10	Professional		$24.55	$34.67	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $281.84	Professional		$194.98	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $38.02 / $50.12	Facility		$11.48	$38.02	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $36.31	Professional		$15.49	$15.49	$36.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $34.67	Professional		$8.32	$12.59	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $16.98 / $46.77	Facility		$2.82	$16.98	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $38.02	Professional		$15.85	$18.62	$38.02