Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $144.54 / $281.84	Facility		$53.70	$144.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $169.82	Professional		$18.20	$25.12	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $58.88 / $128.82	Facility		$14.45	$58.88	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $70.79	Professional		$12.30	$21.88	$70.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $338.84	Facility		$52.48	$93.33	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $81.28	Professional		$19.95	$28.84	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $93.33	Facility		$16.98	$42.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $41.69	Professional		$14.79	$25.12	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $40.74	Professional		$22.39	$25.70	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $30.90	Professional		$15.49	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $75.86	Facility		$20.89	$30.90	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $57.54	Professional		$14.79	$23.44	$57.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $43.65	Professional		$20.42	$26.30	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.49 / $25.70	Facility		$11.48	$15.49	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $50.12	Professional		$10.72	$15.14	$50.12