Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $168.92	Facility		$35.15	$35.15	$168.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $35.15 / $168.92	Professional		$26.88	$35.15	$168.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $89.74 / $185.82	Facility		$26.71	$89.74	$185.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.61 / $68.75	Professional		$35.46	$35.61	$68.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $86.33 / $123.78	Facility		$61.48	$86.33	$123.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $100.00 / $180.95	Professional		$31.64	$100.00	$180.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $37.25 / $37.25	Facility		$27.38	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $39.71	Professional		$27.19	$27.19	$39.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $22.90 / $64.39	Professional		$19.07	$22.90	$64.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $40.98 / $90.74	Professional		$35.11	$40.98	$90.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $304.39 / $304.39	Facility		$124.20	$304.39	$304.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $332.69 / $439.05	Professional		$325.36	$332.69	$439.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $134.74 / $134.74	Professional		$134.74	$134.74	$134.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $51.76 / $61.47	Facility		$18.86	$51.76	$61.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $55.72	Professional		$27.19	$37.25	$55.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $110.50 / $110.50	Professional		$110.50	$110.50	$110.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $32.44 / $46.83	Professional		$19.07	$32.44	$46.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $29.72 / $58.54	Professional		$27.49	$29.72	$58.54