Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $171.73	Facility		$33.20	$33.20	$171.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.20 / $171.73	Professional		$26.31	$33.20	$171.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $91.23 / $188.90	Facility		$25.22	$91.23	$188.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $33.40 / $51.40	Professional		$27.69	$33.40	$51.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.51 / $87.77 / $125.84	Facility		$62.51	$87.77	$125.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $100.00 / $183.96	Professional		$32.17	$100.00	$183.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $34.54 / $34.54	Facility		$27.84	$34.54	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $36.82	Professional		$25.21	$25.21	$36.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $26.27 / $65.45	Professional		$21.89	$26.27	$65.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $41.66 / $92.24	Professional		$35.71	$41.66	$92.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $282.67 / $282.67	Facility		$112.20	$282.67	$282.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $364.82 / $364.82 / $480.08	Professional		$364.82	$364.82	$480.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $151.08 / $151.08	Professional		$151.08	$151.08	$151.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $51.82 / $62.49	Facility		$17.80	$51.82	$62.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $56.33	Professional		$25.21	$34.54	$56.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Professional		$112.34	$112.34	$112.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $37.21 / $47.61	Professional		$21.89	$37.21	$47.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $28.77 / $57.59	Professional		$25.96	$28.77	$57.59