Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $88.06 / $238.68	Facility		$19.05	$88.06	$238.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $21.60 / $283.11	Professional		$13.41	$21.60	$283.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $106.20 / $312.00	Facility		$48.24	$106.20	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.61 / $48.76	Professional		$14.22	$17.61	$48.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $91.84 / $229.85	Facility		$48.15	$91.84	$229.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $55.64	Professional		$11.19	$15.99	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $56.98 / $141.96	Facility		$20.51	$56.98	$141.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $47.11 / $67.11	Professional		$13.36	$47.11	$67.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $44.03 / $70.45	Professional		$19.66	$44.03	$70.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.03 / $86.00	Professional		$35.22	$44.03	$86.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $209.14 / $209.14	Facility		$70.45	$209.14	$209.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $22.01	Professional		$22.01	$22.01	$22.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $41.05 / $89.34	Facility		$22.02	$41.05	$89.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $26.42 / $52.84	Professional		$13.47	$26.42	$52.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $154.54 / $154.54	Professional		$154.54	$154.54	$154.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $39.09 / $48.86	Professional		$35.22	$39.09	$48.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $18.48 / $67.37	Professional		$10.60	$18.48	$67.37