Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $67.97 / $155.50	Facility		$15.89	$67.97	$155.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.42 / $18.01	Professional		$10.01	$13.42	$18.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $36.29 / $293.00	Facility		$16.48	$36.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.86 / $35.04	Professional		$7.44	$11.86	$35.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $85.17 / $193.48	Facility		$38.97	$85.17	$193.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.33 / $72.23	Professional		$9.33	$13.33	$72.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $19.76 / $50.37	Facility		$10.42	$19.76	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $11.34 / $22.58	Professional		$9.07	$11.34	$22.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.05 / $24.08	Professional		$13.38	$15.05	$24.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.05 / $33.11	Professional		$12.04	$15.05	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $71.94 / $80.00	Facility		$71.94	$71.94	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $16.82 / $38.77	Facility		$12.49	$16.82	$38.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $15.05 / $30.10	Professional		$9.97	$15.05	$30.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Professional		$52.82	$52.82	$52.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.65 / $18.73	Professional		$12.04	$13.65	$18.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.62 / $26.29	Professional		$9.02	$12.62	$26.29