Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $72.84 / $173.00	Facility		$17.69	$72.84	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $20.04 / $70.81	Professional		$15.74	$20.04	$70.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $54.22 / $293.00	Facility		$24.63	$54.22	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $13.35 / $34.51	Professional		$8.99	$13.35	$34.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $86.00 / $216.94	Facility		$45.04	$86.00	$216.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.63 / $51.63	Professional		$10.24	$14.63	$51.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $29.51 / $73.56	Facility		$14.61	$29.51	$73.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $25.61 / $34.08	Professional		$12.37	$25.61	$34.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.48 / $35.97	Professional		$17.98	$22.48	$35.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.48 / $39.34	Professional		$17.98	$22.48	$39.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $106.78 / $106.78	Facility		$80.00	$106.78	$106.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $22.48 / $55.31	Facility		$11.24	$22.48	$55.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $21.36 / $32.28	Professional		$12.70	$21.36	$32.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $78.90 / $78.90	Professional		$78.90	$78.90	$78.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.14 / $25.17	Professional		$17.98	$20.14	$25.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.15 / $37.21	Professional		$13.49	$14.15	$37.21