Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $85.39 / $258.00	Facility		$15.73	$85.39	$258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.23 / $81.67	Professional		$8.83	$12.23	$81.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $32.03 / $293.00	Facility		$14.55	$32.03	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $10.46 / $30.90	Professional		$6.56	$10.46	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $81.43 / $170.66	Facility		$34.40	$81.43	$170.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.76 / $63.74	Professional		$8.23	$11.76	$63.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $17.43 / $44.44	Facility		$9.19	$17.43	$44.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $16.11 / $23.49	Professional		$8.69	$16.11	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $13.28 / $21.25	Professional		$11.80	$13.28	$21.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.28 / $30.00	Professional		$10.62	$13.28	$30.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $65.36 / $65.36	Facility		$47.30	$65.36	$65.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $15.94 / $40.22	Facility		$11.02	$15.94	$40.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.28 / $26.56	Professional		$8.81	$13.28	$26.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Professional		$46.61	$46.61	$46.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.28 / $18.59	Professional		$10.62	$13.28	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.97 / $26.53	Professional		$5.58	$7.97	$26.53