Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $68.01 / $155.58	Facility		$15.91	$68.01	$155.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $17.60 / $114.26	Professional		$11.73	$17.60	$114.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $42.86 / $293.00	Facility		$19.47	$42.86	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.87 / $34.36	Professional		$7.44	$11.87	$34.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $85.50 / $193.75	Facility		$40.20	$85.50	$193.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.35 / $52.10	Professional		$9.35	$13.35	$52.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $23.33 / $58.15	Facility		$11.55	$23.33	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $20.65 / $31.32	Professional		$10.40	$20.65	$31.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.77 / $28.43	Professional		$14.22	$17.77	$28.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.77 / $38.74	Professional		$14.22	$17.77	$38.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $84.41 / $100.00	Facility		$55.00	$84.41	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $8.88	Professional		$8.88	$8.88	$8.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $19.23 / $44.43	Facility		$12.55	$19.23	$44.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $17.77 / $32.72	Professional		$11.17	$17.77	$32.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Professional		$62.37	$62.37	$62.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.77 / $24.88	Professional		$14.22	$17.77	$24.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.97 / $29.97	Professional		$7.46	$8.97	$29.97