Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $156.08 / $336.80	Facility		$34.43	$156.08	$336.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $37.51 / $200.61	Professional		$17.29	$37.51	$200.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $78.68 / $312.00	Facility		$35.74	$78.68	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.69 / $74.72	Professional		$16.11	$25.69	$74.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $95.63 / $415.05	Facility		$56.30	$95.63	$415.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $28.88 / $93.57	Professional		$20.22	$28.88	$93.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $43.78 / $109.18	Facility		$22.33	$43.78	$109.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $39.65 / $83.76	Professional		$21.56	$39.65	$83.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $99.00	Professional		$32.61	$32.61	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $32.61 / $72.00	Professional		$26.10	$32.61	$72.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $226.44 / $226.44	Facility		$73.88	$226.44	$226.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $39.14 / $94.05	Facility		$24.47	$39.14	$94.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $38.02 / $83.76	Professional		$21.56	$38.02	$83.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $114.49 / $114.49	Professional		$114.49	$114.49	$114.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $32.61 / $45.67	Professional		$26.10	$32.61	$45.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.39 / $59.23	Professional		$13.70	$19.39	$59.23