Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $34.70 / $222.22	Facility		$34.70	$34.70	$222.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.70 / $222.22	Professional		$25.85	$34.70	$222.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $108.55 / $244.52	Facility		$26.35	$108.55	$244.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.13 / $53.73	Professional		$28.18	$35.13	$53.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $100.00 / $162.83	Facility		$80.88	$100.00	$162.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $102.21 / $238.05	Professional		$41.63	$102.21	$238.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $37.36 / $41.17	Facility		$36.02	$37.36	$41.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $39.83	Professional		$27.27	$27.27	$39.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $39.58 / $84.73	Professional		$32.97	$39.58	$84.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $53.92 / $119.40	Professional		$46.22	$53.92	$119.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $305.37 / $365.89	Facility		$147.91	$305.37	$365.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $578.84 / $578.84	Professional		$565.29	$578.84	$578.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.45 / $132.45 / $132.45	Professional		$132.45	$132.45	$132.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $66.56 / $78.14	Facility		$18.60	$66.56	$78.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $73.31	Professional		$27.27	$37.36	$73.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $145.37 / $145.37	Professional		$145.37	$145.37	$145.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $56.07 / $61.62	Professional		$32.97	$56.07	$61.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $32.22 / $68.30	Professional		$27.13	$32.22	$68.30