Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $139.80 / $319.83	Facility		$32.69	$139.80	$319.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $28.02 / $80.55	Professional		$21.69	$28.02	$80.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $74.72 / $312.00	Facility		$33.94	$74.72	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $24.40 / $71.84	Professional		$15.30	$24.40	$71.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $95.22 / $394.28	Facility		$55.76	$95.22	$394.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $27.43 / $88.86	Professional		$19.20	$27.43	$88.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $40.68 / $103.72	Facility		$21.44	$40.68	$103.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $37.58 / $54.81	Professional		$20.16	$37.58	$54.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.98 / $49.57	Professional		$27.54	$30.98	$49.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $30.98 / $68.16	Professional		$24.78	$30.98	$68.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $152.00 / $152.00	Facility		$74.00	$152.00	$152.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $36.18 / $92.80	Facility		$25.63	$36.18	$92.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $30.98 / $61.96	Professional		$20.64	$30.98	$61.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Professional		$108.73	$108.73	$108.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $30.98 / $43.37	Professional		$24.78	$30.98	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.43 / $59.51	Professional		$13.01	$18.43	$59.51