Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $74.27 / $169.91	Facility		$17.37	$74.27	$169.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.90 / $42.77	Professional		$11.52	$14.90	$42.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $39.68 / $293.00	Facility		$18.02	$39.68	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.97 / $38.31	Professional		$8.11	$12.97	$38.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $86.00 / $211.60	Facility		$42.61	$86.00	$211.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.57 / $56.88	Professional		$10.19	$14.57	$56.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $21.59 / $55.05	Facility		$11.41	$21.59	$55.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $20.09 / $29.51	Professional		$10.82	$20.09	$29.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $16.45 / $26.32	Professional		$14.63	$16.45	$26.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $16.45 / $35.86	Professional		$13.16	$16.45	$35.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $84.00 / $100.00	Facility		$63.00	$84.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $19.69 / $49.82	Facility		$13.63	$19.69	$49.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.45 / $32.90	Professional		$10.90	$16.45	$32.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $57.73	Professional		$57.73	$57.73	$57.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $16.45 / $23.03	Professional		$13.16	$16.45	$23.03
United Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $16.45 / $16.45	Facility		$6.91	$16.45	$16.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.78 / $31.83	Professional		$6.91	$9.78	$31.83