Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $221.42	Facility		$34.57	$34.57	$221.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $34.57 / $221.42	Professional		$27.34	$34.57	$221.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $108.14 / $243.60	Facility		$26.30	$108.14	$243.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $34.64 / $53.53	Professional		$28.00	$34.64	$53.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $100.00 / $162.25	Facility		$80.59	$100.00	$162.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $101.83 / $237.19	Professional		$41.48	$101.83	$237.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.97 / $41.02	Facility		$35.90	$35.97	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.26 / $37.04	Professional		$26.26	$26.26	$37.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $32.21 / $84.41	Professional		$26.84	$32.21	$84.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $53.72 / $118.95	Professional		$46.04	$53.72	$118.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $306.17 / $364.52	Facility		$125.74	$306.17	$364.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.51 / $492.03 / $531.98	Professional		$480.51	$492.03	$531.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.31 / $157.31 / $157.31	Professional		$157.31	$157.31	$157.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $66.58 / $77.79	Facility		$18.54	$66.58	$77.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $58.94	Professional		$26.26	$35.97	$58.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Professional		$144.84	$144.84	$144.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $45.63 / $61.39	Professional		$26.84	$45.63	$61.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $34.60 / $76.73	Professional		$27.03	$34.60	$76.73