Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $263.03	Facility		$32.36	$32.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $229.09	Professional		$25.70	$32.36	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $134.90	Facility		$25.12	$31.62	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $74.13	Professional		$32.36	$32.36	$74.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $141.25	Facility		$63.10	$104.71	$141.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $190.55	Professional		$66.07	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $72.44	Professional		$32.36	$39.81	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $100.00	Professional		$39.81	$54.95	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $446.68	Professional		$309.03	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $56.23 / $75.86	Facility		$18.62	$56.23	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Professional		$26.92	$26.92	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $54.95	Professional		$32.36	$47.86	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $26.92 / $74.13	Facility		$4.47	$26.92	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $60.26	Professional		$25.12	$30.20	$60.26