Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $239.88	Facility		$45.71	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $141.25	Professional		$15.85	$21.88	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $50.12 / $107.15	Facility		$12.30	$50.12	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.62 / $60.26	Professional		$10.72	$18.62	$60.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $288.40	Facility		$46.77	$87.10	$288.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $69.18	Professional		$16.98	$24.55	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $35.48 / $79.43	Facility		$14.45	$35.48	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $35.48	Professional		$12.88	$21.38	$35.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $34.67	Professional		$19.05	$21.38	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $48.98	Professional		$17.38	$21.38	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Facility		$102.33	$102.33	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $25.70	Professional		$12.88	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $63.10	Facility		$17.78	$25.70	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $48.98	Professional		$12.88	$19.95	$48.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $36.31	Professional		$17.38	$21.88	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.88 / $21.38	Facility		$9.77	$12.88	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $42.66	Professional		$9.12	$12.88	$42.66