Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $131.83 / $223.87	Facility		$40.74	$131.83	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $33.88	Professional		$19.05	$23.99	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $147.91	Facility		$38.90	$74.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.02 / $75.86	Professional		$16.98	$38.02	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $316.23	Facility		$50.12	$91.20	$316.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $60.26	Professional		$17.38	$22.91	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $104.71	Facility		$19.95	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $39.81	Professional		$23.44	$29.51	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $51.29	Professional		$26.92	$32.36	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $223.87	Professional		$147.91	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $35.48 / $87.10	Facility		$24.55	$35.48	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $42.66	Professional		$29.51	$32.36	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $354.81	Professional		$23.44	$29.51	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $29.51	Facility		$12.30	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $56.23	Professional		$12.30	$13.80	$56.23