Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $55.16 / $179.10	Facility		$20.32	$55.16	$179.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $20.32 / $23.04	Professional		$14.77	$20.32	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $68.31 / $312.00	Facility		$35.24	$68.31	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $46.68 / $70.94	Professional		$20.13	$46.68	$70.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.57 / $308.51	Facility		$48.20	$87.57	$308.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.62 / $55.86	Professional		$12.33	$17.62	$55.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $35.59 / $87.40	Facility		$18.42	$35.59	$87.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $33.04 / $41.30	Professional		$31.39	$33.04	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $29.82 / $99.00	Professional		$27.11	$29.82	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $47.44	Professional		$21.69	$27.11	$47.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
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 $17.82 / $27.11 / $60.49	Facility		$17.82	$27.11	$60.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $25.75 / $29.82	Professional		$20.87	$25.75	$29.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Professional		$27.11	$27.11	$27.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $14.91 / $18.62	Facility		$12.20	$14.91	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $41.48	Professional		$11.39	$11.39	$41.48