Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $25.43 / $133.18	Facility		$25.43	$25.43	$133.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.43 / $133.18	Professional		$20.30	$25.43	$133.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $72.84 / $146.53	Facility		$23.85	$72.84	$146.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $28.62 / $81.31	Professional		$28.62	$28.62	$81.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $69.20 / $100.00	Facility		$48.48	$69.20	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $83.30 / $142.66	Professional		$24.95	$83.30	$142.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $36.67	Facility		$30.59	$30.59	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $32.61	Professional		$22.33	$22.33	$32.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $46.16 / $55.39	Professional		$36.93	$46.16	$55.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $32.31 / $71.55	Professional		$27.70	$32.31	$71.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $220.66 / $220.66	Facility		$85.00	$220.66	$220.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $237.99 / $346.20	Professional		$237.99	$237.99	$346.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $47.54 / $97.45	Professional		$47.54	$47.54	$97.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $46.16 / $47.54	Facility		$30.59	$46.16	$47.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.59 / $45.49	Professional		$22.33	$30.59	$45.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $36.93 / $36.93	Professional		$36.93	$36.93	$36.93
United Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $56.45 / $56.45	Facility		$47.98	$56.45	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $22.82 / $46.16	Professional		$19.88	$22.82	$46.16