Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $27.14 / $142.37	Facility		$27.14	$27.14	$142.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $27.14 / $142.37	Professional		$21.71	$27.14	$142.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $74.91 / $156.65	Facility		$20.61	$74.91	$156.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $42.21 / $90.00	Professional		$24.67	$42.21	$90.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $71.45 / $104.36	Facility		$50.71	$71.45	$104.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $89.04 / $152.50	Professional		$26.67	$89.04	$152.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $40.14 / $40.14	Facility		$23.09	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $41.34	Professional		$34.11	$34.11	$41.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $31.66 / $54.29	Professional		$26.38	$31.66	$54.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $34.54 / $76.48	Professional		$29.61	$34.54	$76.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $235.45 / $235.45	Facility		$85.00	$235.45	$235.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $254.53 / $370.13	Professional		$254.53	$254.53	$370.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $104.20 / $104.20	Professional		$104.20	$104.20	$104.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $43.21 / $50.83	Facility		$14.55	$43.21	$50.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $46.97	Professional		$34.11	$34.11	$46.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $39.47 / $39.57	Professional		$26.38	$39.47	$39.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $24.40 / $45.78	Professional		$21.21	$24.40	$45.78