Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $76.87 / $202.86	Facility		$32.68	$76.87	$202.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $32.68 / $100.00	Professional		$28.82	$32.68	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $99.09 / $223.22	Facility		$24.82	$99.09	$223.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $33.09 / $66.98	Professional		$32.60	$33.09	$66.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.83 / $99.00 / $148.63	Facility		$73.83	$99.00	$148.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $100.00 / $217.31	Professional		$38.00	$100.00	$217.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $59.08	Facility		$36.61	$36.61	$59.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $39.03	Professional		$26.73	$26.73	$39.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $48.30 / $77.34	Professional		$40.25	$48.30	$77.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $49.22 / $109.00	Professional		$42.19	$49.22	$109.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $334.02 / $334.02	Facility		$121.01	$334.02	$334.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $338.63 / $408.15	Professional		$338.63	$338.63	$408.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Professional		$121.44	$121.44	$121.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $59.91 / $71.25	Facility		$17.53	$59.91	$71.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $65.12	Professional		$26.73	$36.61	$65.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $132.69 / $132.69	Professional		$132.69	$132.69	$132.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $56.26 / $60.38	Professional		$40.25	$56.26	$60.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $27.15 / $71.68	Professional		$25.10	$27.15	$71.68