Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $75.64 / $167.65	Facility		$15.50	$75.64	$167.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $16.98 / $24.88	Professional		$10.91	$16.98	$24.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $35.43 / $293.00	Facility		$16.10	$35.43	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.57 / $34.19	Professional		$7.26	$11.57	$34.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $85.00 / $188.78	Facility		$38.04	$85.00	$188.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.01 / $70.51	Professional		$9.11	$13.01	$70.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $19.29 / $49.18	Facility		$10.17	$19.29	$49.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.76 / $25.90	Professional		$9.55	$17.76	$25.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.69 / $23.50	Professional		$13.06	$14.69	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.69 / $28.65	Professional		$11.75	$14.69	$28.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $77.00	Facility		$55.00	$70.00	$77.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $8.81 / $8.81	Professional		$8.81	$8.81	$8.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $17.16 / $42.14	Facility		$12.18	$17.16	$42.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $14.69 / $29.38	Professional		$9.74	$14.69	$29.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $51.56 / $51.56	Professional		$51.56	$51.56	$51.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.69 / $20.57	Professional		$11.75	$14.69	$20.57
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.74 / $28.22	Professional		$6.17	$8.74	$28.22