Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $77.63 / $177.60	Facility		$18.14	$77.63	$177.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.17 / $172.90	Professional		$12.76	$20.17	$172.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $64.86 / $293.00	Facility		$29.46	$64.86	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.22 / $44.13	Professional		$10.76	$14.22	$44.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $87.20 / $220.98	Facility		$45.88	$87.20	$220.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $15.22 / $52.97	Professional		$10.65	$15.22	$52.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $35.31 / $86.70	Facility		$17.48	$35.31	$86.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $30.98 / $40.79	Professional		$12.58	$30.98	$40.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $26.89 / $43.02	Professional		$18.72	$26.89	$43.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $26.89 / $58.62	Professional		$21.51	$26.89	$58.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $127.73 / $127.73	Facility		$55.00	$127.73	$127.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Professional		$13.44	$13.44	$13.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $26.89 / $64.00	Facility		$17.48	$26.89	$64.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.71 / $37.01	Professional		$12.74	$20.71	$37.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $94.38 / $94.38	Professional		$94.38	$94.38	$94.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $26.89 / $37.65	Professional		$21.51	$26.89	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.29 / $48.83	Professional		$10.09	$11.29	$48.83