Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $66.07 / $109.65	Facility		$19.95	$66.07	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $15.85	Professional		$10.00	$12.88	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $81.28	Facility		$20.89	$39.81	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.08 / $14.45	Professional		$5.89	$7.08	$14.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $72.44 / $154.88	Facility		$30.90	$72.44	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $39.81	Professional		$9.33	$12.59	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $25.70 / $53.70	Facility		$10.72	$25.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.50 / $23.99	Professional		$11.48	$19.50	$23.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.70	Professional		$12.88	$15.85	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $28.18	Professional		$12.88	$15.85	$28.18
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 $10.72 / $18.20 / $40.74	Facility		$10.72	$18.20	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $15.85	Professional		$11.48	$15.85	$15.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $21.88	Professional		$12.88	$14.45	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.71 / $15.85	Facility		$6.76	$8.71	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.24 / $28.84	Professional		$6.76	$7.24	$28.84