Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $158.49	Facility		$29.51	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.80 / $91.20	Professional		$9.33	$13.80	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $32.36 / $69.18	Facility		$7.94	$32.36	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.02 / $38.90	Professional		$6.92	$12.02	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $81.28 / $186.21	Facility		$31.62	$81.28	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $39.81	Professional		$10.96	$15.85	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $23.44 / $51.29	Facility		$9.33	$23.44	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.80 / $22.91	Professional		$8.32	$13.80	$22.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $22.39	Professional		$12.30	$13.80	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.20	Professional		$11.22	$13.80	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $100.00	Facility		$85.11	$89.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $13.80	Professional		$6.92	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $40.74	Facility		$11.48	$16.60	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $31.62	Professional		$8.32	$12.88	$31.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $23.44	Professional		$11.22	$14.13	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.55 / $13.80	Facility		$6.31	$9.55	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.32 / $27.54	Professional		$5.89	$8.32	$27.54