Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $96.95 / $221.80	Facility		$22.67	$96.95	$221.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $23.07 / $138.12	Professional		$15.95	$23.07	$138.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $51.81 / $293.00	Facility		$23.54	$51.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $16.92 / $49.32	Professional		$10.61	$16.92	$49.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $89.10 / $273.39	Facility		$48.22	$89.10	$273.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $19.03 / $61.64	Professional		$13.32	$19.03	$61.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $28.20 / $71.89	Facility		$14.87	$28.20	$71.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $26.02 / $37.95	Professional		$14.01	$26.02	$37.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $21.48 / $34.36	Professional		$19.07	$21.48	$34.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $21.48 / $46.83	Professional		$17.18	$21.48	$46.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $108.00 / $192.00	Facility		$55.00	$108.00	$192.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $24.85 / $54.25	Facility		$15.04	$24.85	$54.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $21.48 / $42.96	Professional		$14.38	$21.48	$42.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $75.39 / $75.39	Professional		$75.39	$75.39	$75.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $21.48 / $30.07	Professional		$17.18	$21.48	$30.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.78 / $44.25	Professional		$9.02	$12.78	$44.25