Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $79.87 / $182.72	Facility		$18.68	$79.87	$182.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $20.67 / $113.75	Professional		$13.13	$20.67	$113.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $42.67 / $293.00	Facility		$19.38	$42.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $13.94 / $41.05	Professional		$8.74	$13.94	$41.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $87.40 / $227.42	Facility		$44.61	$87.40	$227.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $15.67 / $61.16	Professional		$10.97	$15.67	$61.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $23.23 / $59.23	Facility		$12.25	$23.23	$59.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $21.37 / $31.32	Professional		$11.46	$21.37	$31.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $17.69 / $28.30	Professional		$15.73	$17.69	$28.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $17.69 / $38.56	Professional		$14.15	$17.69	$38.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $84.93 / $100.00	Facility		$71.00	$84.93	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $20.67 / $52.85	Facility		$13.27	$20.67	$52.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.69 / $35.38	Professional		$11.83	$17.69	$35.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $62.09 / $62.09	Professional		$62.09	$62.09	$62.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $17.69 / $24.77	Professional		$14.15	$17.69	$24.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.61 / $33.97	Professional		$7.43	$10.61	$33.97