Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $70.83 / $174.32	Facility		$20.32	$70.83	$174.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.75 / $75.09	Professional		$14.45	$19.75	$75.09
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 / $14.06 / $29.82	Professional		$10.84	$14.06	$29.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.57 / $246.97	Facility		$48.20	$87.57	$246.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.62 / $53.08	Professional		$12.33	$17.62	$53.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $35.08 / $87.40	Facility		$17.62	$35.08	$87.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $33.04 / $41.30	Professional		$18.09	$33.04	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $43.38	Professional		$21.69	$27.11	$43.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $59.64	Professional		$21.69	$27.11	$59.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $27.11 / $63.59	Facility		$18.42	$27.11	$63.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.11 / $40.54	Professional		$19.39	$27.11	$40.54
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 $21.69 / $24.29 / $30.37	Professional		$21.69	$24.29	$30.37
United Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $27.11 / $27.11	Facility		$11.39	$27.11	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $43.10	Professional		$11.39	$11.39	$43.10