Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $153.21 / $350.51	Facility		$35.83	$153.21	$350.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $39.65 / $218.23	Professional		$25.20	$39.65	$218.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $81.86 / $312.00	Facility		$37.19	$81.86	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $26.74 / $79.04	Professional		$16.76	$26.74	$79.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $97.40 / $430.66	Facility		$56.92	$97.40	$430.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.06 / $97.39	Professional		$21.04	$30.06	$97.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $44.56 / $113.61	Facility		$23.49	$44.56	$113.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $40.15 / $51.63	Professional		$22.07	$40.15	$51.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $33.94 / $54.30	Professional		$30.17	$33.94	$54.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $33.94 / $73.98	Professional		$27.15	$33.94	$73.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.58 / $161.58	Facility		$80.00	$161.58	$161.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Professional		$16.97	$16.97	$16.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $37.94 / $87.45	Facility		$17.98	$37.94	$87.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $33.94 / $67.88	Professional		$22.49	$33.94	$67.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $119.12 / $119.12	Professional		$119.12	$119.12	$119.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $30.77 / $42.24	Professional		$27.15	$30.77	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.19 / $65.20	Professional		$14.25	$20.19	$65.20