Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $34.53 / $181.24	Facility		$34.53	$34.53	$181.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $34.53 / $181.24	Professional		$27.45	$34.53	$181.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $95.30 / $199.38	Facility		$26.22	$95.30	$199.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $35.02 / $59.86	Professional		$31.39	$35.02	$59.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $92.60 / $132.77	Facility		$65.95	$92.60	$132.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $100.00 / $194.12	Professional		$33.95	$100.00	$194.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $49.90	Facility		$38.36	$38.36	$49.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $39.51	Professional		$28.00	$28.00	$39.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.77 / $69.09	Professional		$20.64	$24.77	$69.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $43.97 / $95.47	Professional		$37.69	$43.97	$95.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $299.70 / $299.70	Facility		$108.14	$299.70	$299.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $324.00 / $471.08	Professional		$324.00	$324.00	$471.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.67 / $132.67 / $132.67	Professional		$132.67	$132.67	$132.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $55.52 / $64.72	Facility		$18.52	$55.52	$64.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $59.79	Professional		$28.00	$38.36	$59.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $118.56 / $118.56	Professional		$118.56	$118.56	$118.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $35.09 / $50.25	Professional		$20.64	$35.09	$50.25
United Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $28.69 / $59.77	Professional		$26.12	$28.69	$59.77