Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $138.04 / $234.42	Facility		$46.77	$138.04	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $38.02	Professional		$21.88	$26.92	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $169.82	Facility		$43.65	$85.11	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $77.62	Professional		$15.85	$38.90	$77.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $323.59	Facility		$51.29	$93.33	$323.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $69.18	Professional		$19.95	$26.30	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $43.65 / $109.65	Facility		$22.91	$43.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $45.71	Professional		$26.92	$37.15	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $58.88	Professional		$30.20	$37.15	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $251.19	Professional		$169.82	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $85.11	Facility		$26.92	$40.74	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $48.98	Professional		$33.88	$37.15	$48.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $407.38	Professional		$26.92	$33.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.88 / $33.88	Facility		$14.13	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $64.57	Professional		$14.13	$14.13	$64.57