Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $87.23 / $353.81	Facility		$41.06	$87.23	$353.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $43.11 / $206.00	Professional		$40.65	$43.11	$206.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $45.12 / $58.54	Facility		$37.08	$45.12	$58.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $90.57	Professional		$40.65	$41.20	$90.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $96.33 / $96.33	Facility		$96.33	$96.33	$96.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $63.00 / $129.68	Professional		$44.10	$63.00	$129.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $53.34	Professional		$40.65	$40.65	$53.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $41.61 / $56.17	Professional		$30.52	$41.61	$56.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $46.75 / $77.64	Professional		$36.59	$46.75	$77.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $183.69 / $183.69	Facility		$85.00	$183.69	$183.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $800.28 / $800.28 / $800.28	Professional		$800.28	$800.28	$800.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $60.00 / $85.30	Professional		$41.61	$60.00	$85.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $42.28 / $73.03	Facility		$40.65	$42.28	$73.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $56.06	Professional		$40.65	$40.65	$56.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $72.06 / $72.06	Professional		$72.06	$72.06	$72.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $32.52 / $45.78	Professional		$30.52	$32.52	$45.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $75.02	Professional		$40.65	$40.65	$75.02