Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $38.92 / $203.79	Facility		$38.92	$38.92	$203.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.92 / $203.79	Professional		$30.86	$38.92	$203.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $111.44 / $224.23	Facility		$36.49	$111.44	$224.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $44.76 / $67.29	Professional		$35.29	$44.76	$67.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $99.00 / $149.32	Facility		$74.17	$99.00	$149.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $100.00 / $218.31	Professional		$38.17	$100.00	$218.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $46.82 / $51.10	Facility		$33.03	$46.82	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $49.91	Professional		$34.18	$34.18	$49.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $45.30 / $77.70	Professional		$37.75	$45.30	$77.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $70.00 / $109.49	Professional		$42.38	$70.00	$109.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $338.32 / $338.32	Facility		$121.56	$338.32	$338.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $364.44 / $529.79	Professional		$364.44	$364.44	$529.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Professional		$149.11	$149.11	$149.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $61.35 / $72.73	Facility		$20.87	$61.35	$72.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $46.82 / $69.65	Professional		$34.18	$46.82	$69.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Professional		$133.31	$133.31	$133.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $56.51 / $56.63	Professional		$37.75	$56.51	$56.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $33.17 / $68.73	Professional		$30.43	$33.17	$68.73