Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $46.84 / $225.00	Facility		$46.84	$46.84	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $46.84 / $225.00	Professional		$34.14	$46.84	$225.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $119.54 / $247.53	Facility		$35.57	$119.54	$247.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $53.69 / $74.70	Professional		$39.07	$53.69	$74.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.89 / $100.00 / $164.86	Facility		$81.89	$100.00	$164.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $103.46 / $241.01	Professional		$42.15	$103.46	$241.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $48.73 / $48.73	Facility		$36.47	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $51.94	Professional		$35.57	$35.57	$51.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $44.35 / $85.78	Professional		$36.96	$44.35	$85.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $54.59 / $120.87	Professional		$46.79	$54.59	$120.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $415.88 / $415.88	Facility		$158.30	$415.88	$415.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $517.77 / $584.85	Professional		$517.77	$517.77	$584.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $159.85 / $159.85	Professional		$159.85	$159.85	$159.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $68.94 / $79.04	Facility		$25.11	$68.94	$79.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $74.22	Professional		$35.57	$48.73	$74.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $147.18 / $147.18	Professional		$147.18	$147.18	$147.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $62.38 / $62.38	Professional		$36.96	$62.38	$62.38
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $39.58 / $77.98	Professional		$36.61	$39.58	$77.98