Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $125.89	Facility		$15.14	$15.14	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $109.65	Professional		$10.96	$15.14	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.79 / $63.10	Facility		$11.75	$14.79	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $31.62	Professional		$15.49	$15.49	$31.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $67.61	Facility		$30.20	$50.12	$67.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $100.00	Professional		$32.36	$53.70	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $16.22	Facility		$13.49	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.22	Professional		$12.02	$12.02	$16.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $35.48	Professional		$10.96	$13.80	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $47.86	Professional		$17.78	$26.30	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $218.78	Professional		$162.18	$218.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $26.30 / $36.31	Facility		$9.33	$26.30	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $30.90	Professional		$12.02	$12.02	$30.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $26.30	Professional		$10.96	$16.60	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $16.98 / $34.67	Facility		$2.14	$16.98	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $29.51	Professional		$12.02	$15.49	$29.51