Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $113.10 / $258.75	Facility		$26.45	$113.10	$258.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $26.45 / $186.98	Professional		$15.41	$26.45	$186.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $70.14 / $309.70	Facility		$31.86	$70.14	$309.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $19.73 / $59.61	Professional		$12.37	$19.73	$59.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $92.60 / $318.94	Facility		$52.60	$92.60	$318.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $22.19 / $74.91	Professional		$15.53	$22.19	$74.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $38.18 / $95.16	Facility		$18.89	$38.18	$95.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $33.45 / $51.45	Professional		$17.19	$33.45	$51.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $29.08 / $46.53	Professional		$23.26	$29.08	$46.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $29.08 / $63.39	Professional		$23.26	$29.08	$63.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $138.13 / $138.13	Facility		$58.89	$138.13	$138.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $14.54 / $14.54	Professional		$14.54	$14.54	$14.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $32.21 / $78.38	Facility		$21.06	$32.21	$78.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $28.79 / $54.17	Professional		$18.37	$28.79	$54.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $102.07 / $102.07	Professional		$102.07	$102.07	$102.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $29.08 / $40.71	Professional		$23.26	$29.08	$40.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.07 / $49.04	Professional		$12.21	$15.07	$49.04