Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $20.54 / $107.78	Facility		$20.54	$20.54	$107.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $20.54 / $107.78	Professional		$16.32	$20.54	$107.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $56.70 / $118.59	Facility		$15.60	$56.70	$118.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $20.84 / $35.63	Professional		$18.68	$20.84	$35.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $54.06 / $80.45	Facility		$38.39	$54.06	$80.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $78.23 / $115.44	Professional		$20.19	$78.23	$115.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $29.67	Facility		$25.64	$25.64	$29.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $27.34	Professional		$18.72	$18.72	$27.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $23.96 / $41.10	Professional		$19.97	$23.96	$41.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $26.15 / $56.79	Professional		$22.42	$26.15	$56.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $178.31 / $178.31	Facility		$77.77	$178.31	$178.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $192.88 / $192.88 / $280.20	Professional		$192.88	$192.88	$280.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $32.71 / $38.50	Facility		$11.02	$32.71	$38.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.64 / $35.56	Professional		$18.72	$25.64	$35.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $70.50	Professional		$70.50	$70.50	$70.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $29.89 / $29.96	Professional		$19.97	$29.89	$29.96
United Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.05 / $36.36	Professional		$15.50	$17.05	$36.36