Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $41.93 / $220.07	Facility		$41.93	$41.93	$220.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $41.93 / $220.07	Professional		$33.32	$41.93	$220.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $115.90 / $242.14	Facility		$31.89	$115.90	$242.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $42.60 / $72.67	Professional		$38.11	$42.60	$72.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $100.00 / $161.22	Facility		$80.09	$100.00	$161.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $101.20 / $235.75	Professional		$41.22	$101.20	$235.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $60.59	Facility		$43.62	$43.62	$60.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $46.50	Professional		$31.84	$31.84	$46.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $21.80 / $83.91	Professional		$18.17	$21.80	$83.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $53.40 / $115.95	Professional		$40.00	$53.40	$115.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $363.92 / $363.92	Facility		$131.28	$363.92	$363.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $393.37 / $572.10	Professional		$393.37	$393.37	$572.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $161.06 / $161.06	Professional		$161.06	$161.06	$161.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $67.42 / $78.56	Facility		$22.48	$67.42	$78.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $72.59	Professional		$31.84	$43.62	$72.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $143.96 / $143.96	Professional		$143.96	$143.96	$143.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $30.89 / $61.02	Professional		$18.17	$30.89	$61.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.89 / $73.80	Professional		$31.62	$34.89	$73.80