Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $92.62 / $211.90	Facility		$21.66	$92.62	$211.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $18.57 / $79.44	Professional		$13.65	$18.57	$79.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $49.49 / $293.00	Facility		$22.48	$49.49	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $16.17 / $47.61	Professional		$10.14	$16.17	$47.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $261.27	Facility		$46.50	$89.10	$261.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $18.17 / $70.95	Professional		$12.72	$18.17	$70.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $26.95 / $68.70	Facility		$14.20	$26.95	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $24.88 / $36.74	Professional		$13.37	$24.88	$36.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.52 / $32.83	Professional		$18.23	$20.52	$32.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.52 / $45.14	Professional		$16.42	$20.52	$45.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $110.00 / $110.00	Facility		$55.00	$110.00	$110.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $24.62 / $58.98	Facility		$16.98	$24.62	$58.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.52 / $41.04	Professional		$13.68	$20.52	$41.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.02 / $72.02	Professional		$72.02	$72.02	$72.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.52 / $28.73	Professional		$16.42	$20.52	$28.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.21 / $37.26	Professional		$8.61	$12.21	$37.26