Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $149.32 / $395.45	Facility		$36.26	$149.32	$395.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $40.90 / $159.90	Professional		$30.75	$40.90	$159.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $148.34 / $360.25	Facility		$67.39	$148.34	$360.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $28.42 / $73.84	Professional		$24.60	$28.42	$73.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $435.84	Facility		$58.70	$100.00	$435.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $30.42 / $100.00	Professional		$21.29	$30.42	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $80.76 / $198.30	Facility		$39.04	$80.76	$198.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $70.62 / $93.44	Professional		$25.36	$70.62	$93.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $61.50 / $98.40	Professional		$24.01	$61.50	$98.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $61.50 / $119.93	Professional		$49.20	$61.50	$119.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $292.13 / $292.13	Facility		$98.40	$292.13	$292.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $55.35 / $137.16	Facility		$30.18	$55.35	$137.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $47.36 / $74.55	Professional		$25.66	$47.36	$74.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $215.86 / $215.86	Professional		$215.86	$215.86	$215.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $49.20 / $58.55	Professional		$35.13	$49.20	$58.55
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.83 / $77.37	Professional		$20.16	$25.83	$77.37