Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $36.82 / $214.93	Facility		$36.82	$36.82	$214.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $36.82 / $214.93	Professional		$28.39	$36.82	$214.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $107.53 / $236.49	Facility		$27.96	$107.53	$236.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.13 / $64.62	Professional		$33.88	$39.13	$64.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $100.00 / $157.52	Facility		$78.23	$100.00	$157.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $100.00 / $230.22	Professional		$40.26	$100.00	$230.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $44.94 / $44.94	Facility		$34.85	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $47.91	Professional		$32.81	$32.81	$47.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.82 / $81.95	Professional		$19.85	$23.82	$81.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $52.15 / $115.48	Professional		$44.70	$52.15	$115.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.04 / $353.88 / $353.88	Facility		$141.04	$353.88	$353.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $392.45 / $392.45 / $613.20	Professional		$392.45	$392.45	$613.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.92 / $132.92 / $132.92	Professional		$132.92	$132.92	$132.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $64.73 / $74.50	Facility		$19.75	$64.73	$74.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $70.91	Professional		$32.81	$44.94	$70.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $140.60 / $140.60	Professional		$140.60	$140.60	$140.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $33.75 / $59.60	Professional		$19.85	$33.75	$59.60
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $36.83 / $74.50	Professional		$28.79	$36.83	$74.50