Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $91.23 / $208.71	Facility		$21.34	$91.23	$208.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $18.60 / $109.66	Professional		$13.45	$18.60	$109.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $48.77 / $293.00	Facility		$22.16	$48.77	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.92 / $51.85	Professional		$9.99	$15.92	$51.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $257.27	Facility		$46.50	$89.10	$257.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $17.89 / $69.90	Professional		$12.53	$17.89	$69.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $26.54 / $67.67	Facility		$13.98	$26.54	$67.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $24.56 / $36.14	Professional		$13.16	$24.56	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.22 / $32.35	Professional		$17.98	$20.22	$32.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $20.22 / $44.08	Professional		$16.18	$20.22	$44.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.00 / $119.00	Facility		$55.00	$119.00	$119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $24.26 / $58.09	Facility		$16.77	$24.26	$58.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $20.22 / $40.44	Professional		$13.45	$20.22	$40.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $70.97 / $70.97	Professional		$70.97	$70.97	$70.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $20.22 / $28.31	Professional		$16.18	$20.22	$28.31
United Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $20.22 / $20.22	Facility		$8.49	$20.22	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.02 / $38.84	Professional		$8.49	$12.02	$38.84