Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $76.40 / $233.48	Facility		$13.36	$76.40	$233.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $26.87 / $68.67	Professional		$14.78	$26.87	$68.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $72.00 / $312.00	Facility		$32.71	$72.00	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.43 / $44.41	Professional		$14.74	$22.43	$44.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $80.00 / $164.42	Facility		$36.11	$80.00	$164.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $25.21 / $46.62	Professional		$17.64	$25.21	$46.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $39.19 / $99.91	Facility		$20.68	$39.19	$99.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $36.34 / $53.01	Professional		$19.52	$36.34	$53.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $32.84 / $99.00	Professional		$29.85	$32.84	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.85 / $58.21	Professional		$23.88	$29.85	$58.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $142.71 / $142.71	Facility		$56.22	$142.71	$142.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $33.74 / $79.19	Facility		$23.88	$33.74	$79.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $29.85 / $59.70	Professional		$19.94	$29.85	$59.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $104.77 / $104.77	Professional		$104.77	$104.77	$104.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.76 / $57.73	Professional		$12.54	$17.76	$57.73