Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $147.91 / $288.40	Facility		$56.23	$147.91	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $218.78	Professional		$25.70	$30.90	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $91.20 / $194.98	Facility		$18.20	$91.20	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.92 / $75.86	Professional		$15.49	$26.92	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $346.74	Facility		$52.48	$95.50	$346.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $91.20	Professional		$20.42	$29.51	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $131.83	Facility		$25.70	$66.07	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $58.88	Professional		$16.98	$25.70	$58.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $63.10	Professional		$27.54	$38.90	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $89.13	Professional		$31.62	$38.90	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $46.77	Professional		$23.44	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $100.00	Facility		$25.70	$42.66	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $77.62	Professional		$18.62	$27.54	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $66.07	Professional		$31.62	$39.81	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.38 / $38.90	Facility		$17.38	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $69.18	Professional		$14.45	$16.60	$69.18