Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $112.87 / $258.22	Facility		$26.39	$112.87	$258.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $22.63 / $66.43	Professional		$17.89	$22.63	$66.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $61.63 / $293.00	Facility		$28.00	$61.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $19.70 / $58.02	Professional		$12.35	$19.70	$58.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $92.60 / $318.30	Facility		$52.60	$92.60	$318.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $22.14 / $71.76	Professional		$15.50	$22.14	$71.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $33.54 / $85.54	Facility		$17.30	$33.54	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $30.30 / $45.18	Professional		$16.34	$30.30	$45.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $25.55 / $40.88	Professional		$22.23	$25.55	$40.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $25.55 / $55.70	Professional		$20.44	$25.55	$55.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $121.36 / $121.36	Facility		$60.00	$121.36	$121.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $30.00 / $76.50	Facility		$20.70	$30.00	$76.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $25.55 / $51.10	Professional		$16.93	$25.55	$51.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $89.68 / $89.68	Professional		$89.68	$89.68	$89.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $25.55 / $35.77	Professional		$20.44	$25.55	$35.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.04 / $50.15	Professional		$10.73	$15.04	$50.15