Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $46.76 / $224.61	Facility		$46.76	$46.76	$224.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $46.76 / $224.61	Professional		$37.64	$46.76	$224.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $119.34 / $247.12	Facility		$35.51	$119.34	$247.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $50.93 / $72.40	Professional		$37.97	$50.93	$72.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $100.00 / $164.59	Facility		$81.76	$100.00	$164.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $103.30 / $240.60	Professional		$42.07	$103.30	$240.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $50.36 / $50.36	Facility		$36.40	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $53.68	Professional		$36.76	$36.76	$53.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.60 / $85.64	Professional		$28.00	$33.60	$85.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $54.50 / $120.67	Professional		$46.71	$54.50	$120.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $404.35 / $404.35	Facility		$146.36	$404.35	$404.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $490.30 / $680.93	Professional		$490.30	$490.30	$680.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $203.05 / $203.05	Professional		$203.05	$203.05	$203.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $68.83 / $81.84	Facility		$25.07	$68.83	$81.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $81.84	Professional		$36.76	$50.36	$81.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $146.93 / $146.93	Professional		$146.93	$146.93	$146.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $47.60 / $62.28	Professional		$28.00	$47.60	$62.28
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.52 / $77.84	Professional		$35.90	$39.52	$77.84