Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $118.70 / $271.57	Facility		$27.76	$118.70	$271.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $30.72 / $183.26	Professional		$6.49	$30.72	$183.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $68.73 / $303.52	Facility		$31.23	$68.73	$303.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $20.72 / $61.20	Professional		$12.99	$20.72	$61.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $334.79	Facility		$53.00	$92.60	$334.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $23.28 / $75.45	Professional		$16.30	$23.28	$75.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $37.43 / $95.43	Facility		$18.53	$37.43	$95.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $32.63 / $50.60	Professional		$17.19	$32.63	$50.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $28.50 / $45.60	Professional		$23.38	$28.50	$45.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $28.50 / $62.13	Professional		$22.80	$28.50	$62.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $182.00 / $182.00	Facility		$69.06	$182.00	$182.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Professional		$14.25	$14.25	$14.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $32.97 / $81.92	Facility		$21.81	$32.97	$81.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $28.50 / $56.85	Professional		$19.01	$28.50	$56.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Professional		$100.03	$100.03	$100.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $28.50 / $39.90	Professional		$22.80	$28.50	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.82 / $52.34	Professional		$11.97	$15.82	$52.34