Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $380.19	Facility		$70.79	$194.98	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $223.87	Professional		$25.12	$32.36	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $79.43 / $169.82	Facility		$19.50	$79.43	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $95.50	Professional		$16.60	$29.51	$95.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $457.09	Facility		$56.23	$100.00	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $100.00	Professional		$26.92	$38.90	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $125.89	Facility		$22.91	$56.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $51.29	Professional		$19.95	$33.88	$51.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $53.70	Professional		$30.20	$33.88	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $74.13	Professional		$26.92	$33.88	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $33.88	Professional		$16.98	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $40.74 / $97.72	Facility		$17.78	$40.74	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $77.62	Professional		$19.95	$30.90	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $51.29	Professional		$26.92	$33.88	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.42 / $33.88	Facility		$15.14	$20.42	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $67.61	Professional		$14.13	$20.42	$67.61