Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $71.11 / $199.70	Facility		$20.42	$71.11	$199.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.54 / $31.64	Professional		$11.21	$17.54	$31.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $54.05 / $293.00	Facility		$24.55	$54.05	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $15.24 / $44.11	Professional		$9.56	$15.24	$44.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $87.40 / $248.77	Facility		$47.80	$87.40	$248.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $17.13 / $55.50	Professional		$11.99	$17.13	$55.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $29.43 / $73.36	Facility		$14.57	$29.43	$73.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $25.61 / $39.70	Professional		$13.16	$25.61	$39.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $22.41 / $35.86	Professional		$11.40	$22.41	$35.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $22.41 / $48.85	Professional		$17.93	$22.41	$48.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $147.81 / $147.81	Facility		$116.25	$147.81	$147.81
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 $16.13 / $24.42 / $58.50	Facility		$16.13	$24.42	$58.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $22.41 / $41.83	Professional		$14.18	$22.41	$41.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $78.65 / $78.65	Professional		$78.65	$78.65	$78.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $18.30 / $22.89	Professional		$16.68	$18.30	$22.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.51 / $37.79	Professional		$9.41	$11.51	$37.79