Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $54.95	Facility		$12.02	$12.02	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $64.57	Professional		$12.02	$12.88	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $102.33	Facility		$18.62	$23.99	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $27.54	Professional		$25.12	$25.70	$27.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $104.71	Professional		$39.81	$70.79	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $58.88	Professional		$16.60	$20.42	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $85.11	Professional		$29.51	$44.67	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $218.78	Professional		$190.55	$218.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.02 / $58.88	Facility		$12.02	$38.02	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $28.18	Professional		$16.22	$16.22	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $44.67	Professional		$16.60	$24.55	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $13.80 / $48.98	Facility		$2.34	$13.80	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $46.77	Professional		$12.59	$15.49	$46.77