Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $93.20 / $213.22	Facility		$21.80	$93.20	$213.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $21.80 / $132.78	Professional		$10.94	$21.80	$132.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $49.81 / $293.00	Facility		$22.63	$49.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $16.27 / $41.82	Professional		$10.19	$16.27	$41.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $89.10 / $262.82	Facility		$46.67	$89.10	$262.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $18.28 / $63.63	Professional		$12.80	$18.28	$63.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $26.72 / $69.11	Facility		$14.29	$26.72	$69.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $25.19 / $36.74	Professional		$13.58	$25.19	$36.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $20.65 / $33.04	Professional		$18.36	$20.65	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $20.65 / $45.02	Professional		$16.52	$20.65	$45.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $99.06 / $100.00	Facility		$86.00	$99.06	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.78 / $59.01	Facility		$15.49	$24.78	$59.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.65 / $41.30	Professional		$13.68	$20.65	$41.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $72.48 / $72.48	Professional		$72.48	$72.48	$72.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $20.65 / $28.91	Professional		$16.52	$20.65	$28.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $12.29 / $39.67	Professional		$8.67	$12.29	$39.67