Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $27.12 / $142.34	Facility		$27.12	$27.12	$142.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $27.12 / $142.34	Professional		$21.56	$27.12	$142.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $74.87 / $156.62	Facility		$20.60	$74.87	$156.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $27.52 / $46.99	Professional		$24.66	$27.52	$46.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $71.44 / $104.33	Facility		$50.70	$71.44	$104.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $89.01 / $152.46	Professional		$26.66	$89.01	$152.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $39.20	Facility		$33.84	$33.84	$39.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $34.86	Professional		$24.70	$24.70	$34.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $11.52 / $54.27	Professional		$9.60	$11.52	$54.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $34.54 / $75.00	Professional		$29.60	$34.54	$75.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $235.40 / $235.40	Facility		$85.00	$235.40	$235.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $254.43 / $370.05	Professional		$254.43	$254.43	$370.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $104.18 / $104.18	Professional		$104.18	$104.18	$104.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $43.20 / $50.82	Facility		$14.54	$43.20	$50.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.84 / $46.96	Professional		$24.70	$33.84	$46.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Professional		$93.11	$93.11	$93.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $16.32 / $39.47	Professional		$9.60	$16.32	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $22.53 / $47.73	Professional		$20.46	$22.53	$47.73