Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $95.05 / $217.46	Facility		$22.23	$95.05	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $20.07 / $114.27	Professional		$11.17	$20.07	$114.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $50.82 / $293.00	Facility		$23.09	$50.82	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $16.59 / $49.01	Professional		$10.40	$16.59	$49.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.62 / $89.10 / $268.11	Facility		$47.62	$89.10	$268.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.66 / $60.42	Professional		$13.06	$18.66	$60.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $27.67 / $70.56	Facility		$14.58	$27.67	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $25.51 / $37.35	Professional		$13.79	$25.51	$37.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $21.07 / $33.71	Professional		$18.73	$21.07	$33.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $21.07 / $46.35	Professional		$16.86	$21.07	$46.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $100.26 / $196.00	Facility		$69.19	$100.26	$196.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $10.53 / $10.53	Professional		$10.53	$10.53	$10.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $24.60 / $60.21	Facility		$15.80	$24.60	$60.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $21.07 / $42.14	Professional		$13.91	$21.07	$42.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $73.95 / $73.95	Professional		$73.95	$73.95	$73.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $21.07 / $29.50	Professional		$16.86	$21.07	$29.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.53 / $43.41	Professional		$8.85	$12.53	$43.41