Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $323.59	Facility		$36.31	$36.31	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $288.40	Professional		$28.18	$36.31	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $151.36	Facility		$28.18	$35.48	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $81.28	Professional		$38.90	$38.90	$81.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $173.78	Facility		$77.62	$128.82	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $239.88	Professional		$83.18	$141.25	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $44.67	Facility		$34.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $91.20	Professional		$19.95	$24.55	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $131.83	Professional		$45.71	$67.61	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $616.60	Professional		$389.05	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $66.07 / $95.50	Facility		$23.99	$66.07	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $74.13	Professional		$33.11	$33.11	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $67.61	Professional		$19.95	$29.51	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $40.74 / $83.18	Facility		$5.01	$40.74	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $75.86	Professional		$28.84	$37.15	$75.86