Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $107.15 / $213.80	Facility		$39.81	$107.15	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $125.89	Professional		$14.13	$18.20	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $43.65 / $95.50	Facility		$10.72	$43.65	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.22 / $53.70	Professional		$9.33	$16.22	$53.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $257.04	Facility		$42.66	$85.11	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $54.95	Professional		$15.14	$21.88	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $69.18	Facility		$12.59	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $30.90	Professional		$11.22	$19.05	$30.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $30.20	Professional		$16.98	$19.05	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $41.69	Professional		$15.14	$19.05	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $19.05	Professional		$9.55	$19.05	$19.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.91 / $53.70	Facility		$14.13	$22.91	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $42.66	Professional		$11.22	$17.38	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $32.36	Professional		$15.14	$19.50	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.22 / $19.05	Facility		$8.51	$11.22	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $38.02	Professional		$7.94	$11.22	$38.02