Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $27.82 / $326.52	Facility		$20.58	$27.82	$326.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.58 / $82.00	Professional		$17.89	$20.58	$82.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $56.77 / $118.78	Facility		$15.62	$56.77	$118.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.75 / $35.69	Professional		$16.48	$20.75	$35.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $54.16 / $80.56	Facility		$38.45	$54.16	$80.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $78.36 / $115.63	Professional		$20.22	$78.36	$115.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $29.72	Facility		$24.80	$24.80	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $26.43	Professional		$18.10	$18.10	$26.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $41.16	Professional		$21.42	$25.70	$41.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.19 / $58.00	Professional		$22.45	$26.19	$58.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $178.59 / $178.59	Facility		$80.00	$178.59	$178.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $193.12 / $193.12 / $280.50	Professional		$193.12	$193.12	$280.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $115.84 / $115.84	Professional		$115.84	$115.84	$115.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $33.74 / $38.57	Facility		$11.59	$33.74	$38.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $35.61	Professional		$18.10	$24.80	$35.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $70.61	Professional		$70.61	$70.61	$70.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $29.94 / $32.13	Professional		$21.42	$29.94	$32.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $18.52 / $51.16	Professional		$16.27	$18.52	$51.16