Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $53.28 / $135.85	Facility		$52.75	$53.28	$135.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $53.28 / $135.85	Professional		$52.75	$53.28	$135.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $56.69 / $95.91	Facility		$47.61	$56.69	$95.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $53.00 / $115.23	Professional		$48.85	$53.00	$115.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $57.69 / $100.00	Facility		$29.58	$57.69	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.00 / $71.08	Professional		$17.50	$25.00	$71.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $49.77 / $52.75	Facility		$49.77	$49.77	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.93	Professional		$52.75	$52.75	$55.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $48.45 / $65.41	Professional		$41.96	$48.45	$65.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $65.94 / $116.05	Professional		$47.48	$65.94	$116.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $213.92 / $213.92	Facility		$75.00	$213.92	$213.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $213.92 / $213.92	Professional		$213.92	$213.92	$213.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $99.32 / $99.32	Professional		$46.15	$99.32	$99.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $54.86 / $88.79	Facility		$52.75	$54.86	$88.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $60.56	Professional		$52.75	$52.75	$60.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Professional		$88.86	$88.86	$88.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $42.20 / $58.03	Professional		$41.96	$42.20	$58.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $95.80	Professional		$52.75	$52.75	$95.80