Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $275.42	Facility		$33.88	$33.88	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $239.88	Professional		$26.92	$33.88	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $141.25	Facility		$26.30	$33.11	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $77.62	Professional		$34.67	$34.67	$77.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $147.91	Facility		$66.07	$109.65	$147.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $204.17	Professional		$69.18	$117.49	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $77.62	Professional		$20.42	$25.70	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $104.71	Professional		$39.81	$57.54	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $467.74	Professional		$323.59	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $58.88 / $79.43	Facility		$19.50	$58.88	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $61.66	Professional		$28.18	$28.18	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $57.54	Professional		$20.42	$30.90	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $28.18 / $77.62	Facility		$4.79	$28.18	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $63.10	Professional		$26.30	$31.62	$63.10