Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $87.56 / $200.31	Facility		$20.48	$87.56	$200.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $18.23 / $75.09	Professional		$12.90	$18.23	$75.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $46.79 / $293.00	Facility		$21.26	$46.79	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.28 / $45.14	Professional		$9.58	$15.28	$45.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $87.57 / $249.41	Facility		$45.12	$87.57	$249.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $17.18 / $67.06	Professional		$12.03	$17.18	$67.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $25.47 / $64.94	Facility		$13.44	$25.47	$64.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $23.54 / $34.33	Professional		$12.73	$23.54	$34.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.39 / $31.04	Professional		$17.23	$19.39	$31.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $19.39 / $42.29	Professional		$15.52	$19.39	$42.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $93.18 / $100.00	Facility		$63.74	$93.18	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Professional		$11.64	$11.64	$11.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $23.28 / $55.75	Facility		$16.05	$23.28	$55.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.39 / $38.79	Professional		$12.98	$19.39	$38.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Professional		$68.09	$68.09	$68.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $19.39 / $27.16	Professional		$15.52	$19.39	$27.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.54 / $38.54	Professional		$8.15	$11.54	$38.54