Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $86.32 / $197.49	Facility		$20.19	$86.32	$197.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $22.34 / $136.77	Professional		$14.20	$22.34	$136.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $51.30 / $293.00	Facility		$23.31	$51.30	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $15.07 / $43.51	Professional		$9.44	$15.07	$43.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $87.40 / $243.51	Facility		$47.43	$87.40	$243.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $16.94 / $54.89	Professional		$11.86	$16.94	$54.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $27.94 / $70.20	Facility		$13.83	$27.94	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $24.37 / $37.95	Professional		$12.52	$24.37	$37.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.27 / $34.03	Professional		$17.02	$21.27	$34.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.27 / $46.37	Professional		$17.02	$21.27	$46.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $101.03 / $101.03	Facility		$55.00	$101.03	$101.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Professional		$10.63	$10.63	$10.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $24.36 / $64.45	Facility		$15.95	$24.36	$64.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.27 / $41.30	Professional		$14.13	$21.27	$41.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $74.65 / $74.65	Professional		$74.65	$74.65	$74.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.27 / $29.78	Professional		$17.02	$21.27	$29.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.38 / $36.99	Professional		$8.93	$11.38	$36.99