Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $100.00 / $194.98	Facility		$38.02	$100.00	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $138.04	Professional		$16.98	$20.89	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $63.10 / $134.90	Facility		$12.59	$63.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $54.95	Professional		$10.72	$19.50	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $229.09	Facility		$45.71	$85.11	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $61.66	Professional		$13.80	$19.50	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $44.67 / $91.20	Facility		$17.38	$44.67	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $40.74	Professional		$11.48	$17.78	$40.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $42.66	Professional		$18.62	$26.92	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $58.88	Professional		$21.38	$26.92	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $26.92	Professional		$13.49	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.84 / $67.61	Facility		$19.50	$28.84	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $53.70	Professional		$12.59	$18.62	$53.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $45.71	Professional		$21.38	$27.54	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.79 / $26.92	Facility		$11.75	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $47.86	Professional		$10.00	$12.59	$47.86