Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $123.03	Facility		$25.12	$74.13	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $18.20	Professional		$12.02	$14.13	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $91.20	Facility		$23.44	$44.67	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $15.85	Professional		$2.09	$2.63	$15.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $75.86 / $173.78	Facility		$34.67	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $44.67	Professional		$10.47	$14.13	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $60.26	Facility		$12.02	$29.51	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $27.54	Professional		$12.88	$21.88	$27.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $28.84	Professional		$14.45	$18.20	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $31.62	Professional		$14.45	$18.20	$31.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
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 $12.02 / $20.89 / $45.71	Facility		$12.02	$20.89	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $18.20	Professional		$12.88	$18.20	$18.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $24.55	Professional		$14.45	$16.22	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.00 / $18.20	Facility		$7.59	$10.00	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $32.36	Professional		$7.59	$8.32	$32.36