Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $78.98 / $180.69	Facility		$18.47	$78.98	$180.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $20.32 / $174.32	Professional		$13.56	$20.32	$174.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $65.39 / $293.00	Facility		$29.70	$65.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.90 / $36.92	Professional		$10.84	$15.90	$36.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $87.40 / $226.60	Facility		$46.28	$87.40	$226.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $63.01	Professional		$11.19	$15.99	$63.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $35.59 / $88.00	Facility		$17.60	$35.59	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $31.39 / $41.30	Professional		$12.64	$31.39	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $27.11 / $43.38	Professional		$19.66	$27.11	$43.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $59.10	Professional		$21.69	$27.11	$59.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $13.55	Professional		$13.55	$13.55	$13.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $27.11 / $64.88	Facility		$11.47	$27.11	$64.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.35 / $29.82	Professional		$12.74	$23.35	$29.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $95.15 / $95.15	Professional		$95.15	$95.15	$95.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $22.02 / $27.52	Professional		$20.05	$22.02	$27.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $11.39 / $36.33	Professional		$10.34	$11.39	$36.33