Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $76.56 / $164.25	Facility		$16.79	$76.56	$164.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.57 / $127.44	Professional		$11.81	$18.57	$127.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $47.81 / $293.00	Facility		$21.72	$47.81	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $12.53 / $37.90	Professional		$7.93	$12.53	$37.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $85.70 / $204.42	Facility		$43.21	$85.70	$204.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.09 / $54.97	Professional		$9.86	$14.09	$54.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.02 / $64.84	Facility		$12.88	$26.02	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $22.72 / $32.99	Professional		$11.67	$22.72	$32.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.82 / $31.71	Professional		$15.85	$19.82	$31.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $19.82 / $43.21	Professional		$15.86	$19.82	$43.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $129.00 / $129.00	Facility		$55.00	$129.00	$129.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $9.91	Professional		$9.91	$9.91	$9.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $22.15 / $55.00	Facility		$13.87	$22.15	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $19.82 / $34.33	Professional		$11.78	$19.82	$34.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Professional		$69.56	$69.56	$69.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $19.82 / $27.75	Professional		$15.86	$19.82	$27.75
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.82 / $19.82	Facility		$8.32	$19.82	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.57 / $32.00	Professional		$8.32	$9.57	$32.00