Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $85.47 / $195.54	Facility		$19.98	$85.47	$195.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $22.12 / $135.35	Professional		$14.06	$22.12	$135.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $50.77 / $293.00	Facility		$23.06	$50.77	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.92 / $43.15	Professional		$9.35	$14.92	$43.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $87.40 / $243.43	Facility		$46.94	$87.40	$243.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $54.33	Professional		$11.73	$16.76	$54.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $27.63 / $69.42	Facility		$13.68	$27.63	$69.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $24.37 / $37.35	Professional		$12.31	$24.37	$37.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.05 / $33.68	Professional		$16.84	$21.05	$33.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.05 / $47.70	Professional		$16.84	$21.05	$47.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $99.99 / $100.00	Facility		$73.23	$99.99	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $24.09 / $63.75	Facility		$15.79	$24.09	$63.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $21.05 / $41.30	Professional		$13.91	$21.05	$41.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $73.88 / $73.88	Professional		$73.88	$73.88	$73.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.05 / $29.47	Professional		$16.84	$21.05	$29.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.39 / $40.44	Professional		$8.84	$11.39	$40.44