Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $121.88 / $263.08	Facility		$26.89	$121.88	$263.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.89 / $138.19	Professional		$19.55	$26.89	$138.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $94.33 / $312.00	Facility		$42.85	$94.33	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $20.66 / $65.33	Professional		$15.64	$20.66	$65.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $95.60 / $324.22	Facility		$53.00	$95.60	$324.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $22.56 / $78.48	Professional		$15.79	$22.56	$78.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $50.76 / $126.08	Facility		$25.42	$50.76	$126.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $45.02 / $59.38	Professional		$18.78	$45.02	$59.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $39.11 / $62.58	Professional		$27.73	$39.11	$62.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $39.11 / $88.63	Professional		$31.29	$39.11	$88.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $185.77 / $185.77	Facility		$64.00	$185.77	$185.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $23.46 / $23.46	Professional		$23.46	$23.46	$23.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $39.11 / $93.46	Facility		$24.26	$39.11	$93.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $32.93 / $55.24	Professional		$19.01	$32.93	$55.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $137.27 / $137.27	Professional		$137.27	$137.27	$137.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $39.11 / $54.75	Professional		$31.29	$39.11	$54.75
United Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $16.43 / $65.95	Professional		$14.86	$16.43	$65.95