Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $89.14	Facility		$16.98	$16.98	$89.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $16.98 / $89.14	Professional		$13.58	$16.98	$89.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $49.32 / $106.22	Facility		$18.71	$49.32	$106.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $24.95 / $29.44	Professional		$15.86	$24.95	$29.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $44.74 / $66.54	Facility		$31.75	$44.74	$66.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $64.70 / $100.00	Professional		$16.70	$64.70	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $25.14 / $25.14	Facility		$16.20	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.89	Professional		$21.37	$21.37	$25.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $19.80 / $33.97	Professional		$16.51	$19.80	$33.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $21.62 / $71.02	Professional		$18.53	$21.62	$71.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $135.94 / $146.68	Facility		$80.00	$135.94	$146.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $159.66 / $231.60	Professional		$159.66	$159.66	$231.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $65.23	Professional		$65.23	$65.23	$65.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $27.32 / $31.82	Facility		$9.11	$27.32	$31.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.14 / $29.40	Professional		$21.37	$25.14	$29.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $58.31 / $58.31	Professional		$58.31	$58.31	$58.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $24.70 / $24.77	Professional		$16.51	$24.70	$24.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.28 / $29.90	Professional		$13.28	$15.28	$29.90