Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $106.45 / $243.54	Facility		$24.89	$106.45	$243.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $27.55 / $168.72	Professional		$17.51	$27.55	$168.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $63.29 / $293.00	Facility		$28.75	$63.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $18.57 / $54.72	Professional		$11.65	$18.57	$54.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $91.85 / $300.17	Facility		$50.60	$91.85	$300.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $20.88 / $67.68	Professional		$14.62	$20.88	$67.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $34.46 / $86.51	Facility		$17.05	$34.46	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.15 / $46.38	Professional		$15.49	$30.15	$46.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.24 / $41.98	Professional		$20.99	$26.24	$41.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.24 / $57.20	Professional		$20.99	$26.24	$57.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $124.64 / $124.64	Facility		$55.14	$124.64	$124.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $30.04 / $75.42	Facility		$19.68	$30.04	$75.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.24 / $50.95	Professional		$17.38	$26.24	$50.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.24 / $36.74	Professional		$20.99	$26.24	$36.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $13.84 / $45.60	Professional		$11.02	$13.84	$45.60