Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $88.46 / $243.19	Facility		$25.40	$88.46	$243.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $28.10 / $28.78	Professional		$18.45	$28.10	$28.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $85.33 / $312.00	Facility		$44.02	$85.33	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $38.60 / $77.70	Professional		$13.54	$38.60	$77.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $92.60 / $305.76	Facility		$50.60	$92.60	$305.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $22.01 / $66.31	Professional		$15.41	$22.01	$66.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $39.18 / $85.62	Facility		$22.68	$39.18	$85.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $23.02 / $23.02	Professional		$23.02	$23.02	$23.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.86 / $45.71	Professional		$27.09	$33.86	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $38.94 / $74.48	Professional		$30.47	$38.94	$74.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $160.84 / $160.84	Facility		$58.92	$160.84	$160.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $169.30 / $253.95	Professional		$169.30	$169.30	$253.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $40.63 / $81.11	Facility		$27.09	$40.63	$81.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.25 / $50.79	Professional		$33.86	$37.25	$50.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Professional		$33.86	$33.86	$33.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $30.47 / $46.05	Professional		$27.09	$30.47	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $67.04	Professional		$14.22	$14.22	$67.04