Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $63.73 / $206.96	Facility		$23.50	$63.73	$206.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.50 / $26.63	Professional		$16.60	$23.50	$26.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $78.95 / $312.00	Facility		$40.72	$78.95	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $7.84 / $21.62	Professional		$2.87	$7.84	$21.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $89.50 / $285.42	Facility		$50.60	$89.50	$285.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $64.54	Professional		$14.25	$20.36	$64.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $41.13 / $100.99	Facility		$21.29	$41.13	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $38.00 / $47.50	Professional		$35.93	$38.00	$47.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $31.33 / $50.13	Professional		$25.06	$31.33	$50.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $31.33 / $54.83	Professional		$25.06	$31.33	$54.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $148.82 / $148.82	Facility		$50.13	$148.82	$148.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $43.55 / $92.50	Facility		$22.70	$43.55	$92.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $31.33 / $34.46	Professional		$24.12	$31.33	$34.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $28.07 / $35.08	Professional		$25.06	$28.07	$35.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $49.81	Professional		$13.16	$13.16	$49.81