Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $102.20 / $233.82	Facility		$23.90	$102.20	$233.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.90 / $145.63	Professional		$16.80	$23.90	$145.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $54.63 / $293.00	Facility		$24.82	$54.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $17.84 / $49.10	Professional		$11.18	$17.84	$49.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $90.30 / $288.33	Facility		$49.40	$90.30	$288.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $20.05 / $64.98	Professional		$14.04	$20.05	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $29.73 / $75.81	Facility		$15.69	$29.73	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $27.43 / $40.36	Professional		$14.85	$27.43	$40.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $22.65 / $36.24	Professional		$20.13	$22.65	$36.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.65 / $49.38	Professional		$18.12	$22.65	$49.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.51 / $109.65 / $139.00	Facility		$108.51	$109.65	$139.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $11.32 / $11.32	Professional		$11.32	$11.32	$11.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $27.09 / $74.77	Facility		$18.79	$27.09	$74.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $22.65 / $45.30	Professional		$15.07	$22.65	$45.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.65 / $31.71	Professional		$18.12	$22.65	$31.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.47 / $46.68	Professional		$9.51	$13.47	$46.68