Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $27.95 / $146.71	Facility		$27.95	$27.95	$146.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $27.95 / $146.71	Professional		$22.21	$27.95	$146.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $77.16 / $161.38	Facility		$21.23	$77.16	$161.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $27.25 / $48.47	Professional		$25.42	$27.25	$48.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $74.97 / $107.50	Facility		$53.40	$74.97	$107.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $91.74 / $157.13	Professional		$27.48	$91.74	$157.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $40.39	Facility		$36.33	$36.33	$40.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $60.38	Professional		$26.52	$26.52	$60.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.57 / $55.92	Professional		$13.82	$16.57	$55.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $35.59 / $78.80	Professional		$30.50	$35.59	$78.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $242.56 / $242.56	Facility		$87.56	$242.56	$242.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $262.20 / $381.30	Professional		$262.20	$262.20	$381.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $107.33 / $107.33	Professional		$107.33	$107.33	$107.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $44.95 / $52.36	Facility		$14.99	$44.95	$52.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $49.65	Professional		$26.52	$26.52	$49.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $95.97	Professional		$95.97	$95.97	$95.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $23.49 / $40.67	Professional		$13.82	$23.49	$40.67
United Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $21.08 / $23.01	Facility		$3.84	$21.08	$23.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $23.21 / $49.49	Professional		$21.08	$23.21	$49.49