Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $97.72 / $218.78	Facility		$28.18	$97.72	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $147.91	Professional		$15.14	$20.89	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $52.48 / $112.20	Facility		$10.96	$52.48	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $54.95	Professional		$9.55	$16.98	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $263.03	Facility		$46.77	$85.11	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $63.10	Professional		$15.49	$22.39	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.02 / $81.28	Facility		$15.14	$38.02	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $33.88	Professional		$12.02	$19.50	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.39 / $35.48	Professional		$11.48	$22.39	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $48.98	Professional		$17.78	$22.39	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
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 $17.38 / $25.70 / $61.66	Facility		$17.38	$25.70	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $45.71	Professional		$12.02	$19.50	$45.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $27.54	Professional		$16.22	$19.95	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $22.39	Facility		$10.00	$13.49	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $40.74	Professional		$9.33	$11.75	$40.74