Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $112.02 / $256.27	Facility		$26.20	$112.02	$256.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $26.41 / $217.72	Professional		$16.92	$26.41	$217.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $81.67 / $312.00	Facility		$37.10	$81.67	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $20.28 / $59.14	Professional		$13.54	$20.28	$59.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $94.33 / $315.93	Facility		$52.60	$94.33	$315.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $21.98 / $76.48	Professional		$15.39	$21.98	$76.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $44.46 / $110.82	Facility		$22.01	$44.46	$110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $39.42 / $51.63	Professional		$18.37	$39.42	$51.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $33.86 / $54.18	Professional		$27.02	$33.86	$54.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.86 / $73.81	Professional		$27.09	$33.86	$73.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.84 / $160.84	Facility		$80.00	$160.84	$160.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.31 / $20.31 / $20.31	Professional		$20.31	$20.31	$20.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $33.86 / $82.04	Facility		$22.01	$33.86	$82.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $32.09 / $53.42	Professional		$18.86	$32.09	$53.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $118.84 / $118.84	Professional		$118.84	$118.84	$118.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $30.26 / $37.83	Professional		$27.09	$30.26	$37.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.93 / $49.77	Professional		$14.22	$14.93	$49.77