Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $101.59 / $232.40	Facility		$23.76	$101.59	$232.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $20.41 / $87.12	Professional		$14.98	$20.41	$87.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $54.32 / $293.00	Facility		$24.68	$54.32	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $17.73 / $52.20	Professional		$11.12	$17.73	$52.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.11 / $90.30 / $286.51	Facility		$49.11	$90.30	$286.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $19.94 / $64.58	Professional		$13.96	$19.94	$64.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $29.57 / $75.40	Facility		$15.58	$29.57	$75.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $27.26 / $39.75	Professional		$14.64	$27.26	$39.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $22.52 / $36.03	Professional		$20.02	$22.52	$36.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $22.52 / $49.09	Professional		$18.02	$22.52	$49.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.00 / $119.00	Facility		$55.00	$119.00	$119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $11.26	Professional		$11.26	$11.26	$11.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $26.29 / $60.66	Facility		$18.63	$26.29	$60.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $22.52 / $45.04	Professional		$15.07	$22.52	$45.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $79.04	Professional		$79.04	$79.04	$79.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $22.52 / $31.53	Professional		$18.02	$22.52	$31.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.39 / $43.26	Professional		$9.46	$13.39	$43.26