Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $65.69 / $150.28	Facility		$15.36	$65.69	$150.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.04 / $64.20	Professional		$11.03	$15.04	$64.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $40.02 / $293.00	Facility		$18.18	$40.02	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $13.07 / $35.97	Professional		$8.19	$13.07	$35.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $86.00 / $213.26	Facility		$42.97	$86.00	$213.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.70 / $57.36	Professional		$10.29	$14.70	$57.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $21.78 / $55.52	Facility		$11.48	$21.78	$55.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $20.09 / $29.51	Professional		$10.82	$20.09	$29.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $16.59 / $26.54	Professional		$14.75	$16.59	$26.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.59 / $36.17	Professional		$13.27	$16.59	$36.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $79.02 / $79.02	Facility		$53.71	$79.02	$79.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.95 / $9.95 / $9.95	Professional		$9.95	$9.95	$9.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $19.19 / $47.22	Facility		$13.77	$19.19	$47.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.59 / $33.18	Professional		$11.13	$16.59	$33.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $58.23	Professional		$58.23	$58.23	$58.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.59 / $23.23	Professional		$13.27	$16.59	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.86 / $31.87	Professional		$6.97	$9.86	$31.87