Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $24.36 / $111.94	Facility		$21.00	$24.36	$111.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.72 / $79.90	Professional		$17.64	$22.72	$79.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.53 / $1.40	Facility		$0.44	$0.53	$1.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $13.30 / $64.70	Professional		$0.50	$13.30	$64.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $78.30 / $126.94	Facility		$42.93	$78.30	$126.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $21.59 / $56.27	Professional		$16.16	$21.59	$56.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $36.40 / $49.14	Professional		$14.27	$36.40	$49.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $35.14 / $56.42	Professional		$26.75	$35.14	$56.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $145.97 / $145.97	Facility		$85.00	$145.97	$145.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $149.15 / $227.48	Professional		$149.15	$149.15	$227.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $32.34 / $32.34	Professional		$27.25	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $31.45 / $49.69	Facility		$17.10	$31.45	$49.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $62.04	Professional		$23.81	$23.81	$62.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $57.87 / $57.87	Professional		$57.87	$57.87	$57.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $29.45 / $40.49	Professional		$18.55	$29.45	$40.49
United Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $23.82 / $63.67	Professional		$16.69	$23.82	$63.67