Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $95.28 / $213.66	Facility		$21.02	$95.28	$213.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.60 / $77.06	Professional		$14.25	$20.60	$77.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.23 / $68.73 / $303.52	Facility		$31.23	$68.73	$303.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $16.46 / $47.44	Professional		$11.40	$16.46	$47.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $88.19 / $253.44	Facility		$48.42	$88.19	$253.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $17.63 / $61.36	Professional		$12.34	$17.63	$61.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $36.89 / $93.30	Facility		$18.53	$36.89	$93.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $32.63 / $43.36	Professional		$14.71	$32.63	$43.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $28.50 / $45.60	Professional		$15.94	$28.50	$45.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $28.50 / $62.13	Professional		$22.80	$28.50	$62.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $135.38 / $135.38	Facility		$55.00	$135.38	$135.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $28.50 / $66.45	Facility		$18.39	$28.50	$66.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $25.75 / $42.91	Professional		$14.77	$25.75	$42.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Professional		$100.03	$100.03	$100.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $25.60 / $32.00	Professional		$22.80	$25.60	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.97 / $40.06	Professional		$11.68	$11.97	$40.06