Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.10 / $102.33	Facility		$19.50	$63.10	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $12.88	Professional		$8.91	$10.96	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $69.18	Facility		$17.78	$33.88	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $30.20	Professional		$6.76	$14.79	$30.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $69.18 / $147.91	Facility		$29.51	$69.18	$147.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $33.88	Professional		$7.94	$10.96	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.39 / $45.71	Facility		$9.12	$22.39	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.98 / $21.38	Professional		$8.91	$16.98	$21.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $21.88	Professional		$10.96	$13.80	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $23.99	Professional		$10.96	$13.80	$23.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.85 / $35.48	Facility		$7.24	$15.85	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $15.14	Professional		$8.91	$13.80	$15.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $18.62	Professional		$10.96	$12.30	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.59 / $13.80	Facility		$5.75	$7.59	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.46 / $25.12	Professional		$5.75	$6.46	$25.12