Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $35.59 / $227.94	Facility		$21.78	$35.59	$227.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $35.59 / $227.94	Professional		$29.33	$35.59	$227.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $111.33 / $250.77	Facility		$27.03	$111.33	$250.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $36.21 / $64.70	Professional		$29.69	$36.21	$64.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.97 / $100.00 / $167.04	Facility		$82.97	$100.00	$167.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $104.83 / $244.17	Professional		$42.70	$104.83	$244.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $37.03 / $42.23	Facility		$36.95	$37.03	$42.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $39.47	Professional		$27.03	$27.03	$39.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $31.28 / $86.90	Professional		$26.07	$31.28	$86.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $55.30 / $122.45	Professional		$47.40	$55.30	$122.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $321.47 / $375.25	Facility		$121.60	$321.47	$375.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.48 / $408.06 / $444.38	Professional		$398.48	$408.06	$444.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $161.94 / $161.94	Professional		$161.94	$161.94	$161.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $68.29 / $79.00	Facility		$19.07	$68.29	$79.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $57.86	Professional		$27.03	$37.03	$57.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Professional		$149.11	$149.11	$149.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $44.32 / $63.20	Professional		$26.07	$44.32	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $30.08 / $71.79	Professional		$27.34	$30.08	$71.79