Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $93.64 / $231.96	Facility		$19.53	$93.64	$231.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.48 / $22.98	Professional		$13.05	$16.48	$22.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $55.43 / $293.00	Facility		$25.18	$55.43	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.76 / $44.09	Professional		$9.19	$13.76	$44.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $86.00 / $216.84	Facility		$45.02	$86.00	$216.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.94 / $51.98	Professional		$10.46	$14.94	$51.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $30.18 / $75.22	Facility		$14.94	$30.18	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $26.43 / $35.10	Professional		$12.38	$26.43	$35.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $22.98 / $36.77	Professional		$18.36	$22.98	$36.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.98 / $50.10	Professional		$18.38	$22.98	$50.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $194.00 / $243.00	Facility		$194.00	$194.00	$243.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $25.28 / $67.87	Facility		$16.09	$25.28	$67.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.80 / $36.47	Professional		$12.55	$21.80	$36.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $80.65 / $80.65	Professional		$80.65	$80.65	$80.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.98 / $32.17	Professional		$18.38	$22.98	$32.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.15 / $38.76	Professional		$9.65	$10.15	$38.76