Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $78.93 / $169.29	Facility		$17.30	$78.93	$169.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.30 / $29.20	Professional		$12.16	$17.30	$29.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $39.51 / $293.00	Facility		$17.95	$39.51	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.91 / $36.29	Professional		$8.09	$12.91	$36.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $86.00 / $210.68	Facility		$42.42	$86.00	$210.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $56.66	Professional		$10.16	$14.51	$56.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $21.51 / $54.85	Facility		$11.34	$21.51	$54.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.77 / $28.91	Professional		$10.61	$19.77	$28.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $16.38 / $26.21	Professional		$14.56	$16.38	$26.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.38 / $35.71	Professional		$13.10	$16.38	$35.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $106.43 / $106.43	Facility		$83.70	$106.43	$106.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $9.83 / $9.83	Professional		$9.83	$9.83	$9.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $19.66 / $48.53	Facility		$13.59	$19.66	$48.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.38 / $32.76	Professional		$10.90	$16.38	$32.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $57.49 / $57.49	Professional		$57.49	$57.49	$57.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.38 / $22.93	Professional		$13.10	$16.38	$22.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.75 / $31.47	Professional		$6.88	$9.75	$31.47