Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $85.39 / $195.36	Facility		$19.97	$85.39	$195.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.10 / $121.59	Professional		$14.04	$22.10	$121.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $45.61 / $293.00	Facility		$20.72	$45.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $14.91 / $28.36	Professional		$9.34	$14.91	$28.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $243.16	Facility		$45.10	$87.40	$243.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.73 / $65.43	Professional		$11.72	$16.73	$65.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $24.83 / $63.29	Facility		$13.09	$24.83	$63.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $21.48 / $28.91	Professional		$12.31	$21.48	$28.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $18.91 / $30.26	Professional		$10.46	$18.91	$30.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $18.91 / $41.22	Professional		$15.13	$18.91	$41.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $90.81 / $90.81	Facility		$55.00	$90.81	$90.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.45 / $9.45 / $9.45	Professional		$9.45	$9.45	$9.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $21.75 / $47.28	Facility		$15.13	$21.75	$47.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.91 / $28.39	Professional		$12.52	$18.91	$28.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Professional		$66.37	$66.37	$66.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.13 / $17.78	Professional		$10.67	$15.13	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.26 / $48.66	Professional		$7.94	$11.26	$48.66