Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $246.82	Facility		$38.54	$38.54	$246.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $38.54 / $246.82	Professional		$32.32	$38.54	$246.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $120.54 / $271.52	Facility		$29.27	$120.54	$271.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $39.20 / $69.20	Professional		$37.29	$39.20	$69.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $101.27 / $180.84	Facility		$87.92	$101.27	$180.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $113.50 / $264.38	Professional		$46.23	$113.50	$264.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $48.15 / $48.15	Facility		$40.01	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $49.59	Professional		$35.15	$35.15	$49.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $32.35 / $94.09	Professional		$26.96	$32.35	$94.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $59.88 / $132.59	Professional		$51.32	$59.88	$132.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.84 / $346.37 / $406.32	Facility		$134.84	$346.37	$406.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.33 / $436.55 / $481.13	Professional		$426.33	$436.55	$481.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $151.31 / $151.31	Professional		$151.31	$151.31	$151.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $73.81 / $85.54	Facility		$20.66	$73.81	$85.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $65.51	Professional		$35.15	$48.15	$65.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $161.46 / $161.46	Professional		$161.46	$161.46	$161.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $45.83 / $68.43	Professional		$26.96	$45.83	$68.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $38.53 / $85.54	Professional		$30.13	$38.53	$85.54