Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $84.57 / $221.46	Facility		$17.68	$84.57	$221.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $20.03 / $385.80	Professional		$12.44	$20.03	$385.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $144.72 / $353.00	Facility		$65.73	$144.72	$353.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $24.00 / $55.55	Professional		$13.19	$24.00	$55.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $90.30 / $213.27	Facility		$45.49	$90.30	$213.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.83 / $51.61	Professional		$10.38	$14.83	$51.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $77.64 / $193.44	Facility		$19.02	$77.64	$193.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $64.09 / $91.38	Professional		$12.39	$64.09	$91.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $60.00 / $96.00	Professional		$18.23	$60.00	$96.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.00 / $117.00	Professional		$48.00	$60.00	$117.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $285.00 / $285.00	Facility		$96.00	$285.00	$285.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $49.40 / $121.70	Facility		$22.75	$49.40	$121.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $35.22 / $72.00	Professional		$12.55	$35.22	$72.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $210.60 / $210.60	Professional		$210.60	$210.60	$210.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $48.00 / $54.74	Professional		$32.85	$48.00	$54.74
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $25.20 / $67.20	Professional		$9.83	$25.20	$67.20