Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $79.43 / $162.18	Facility		$28.18	$79.43	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $93.33	Professional		$9.33	$12.88	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $33.11 / $72.44	Facility		$8.13	$33.11	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.30 / $41.69	Professional		$7.08	$12.30	$41.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $81.28 / $194.98	Facility		$32.36	$81.28	$194.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $41.69	Professional		$11.48	$16.22	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.99 / $52.48	Facility		$9.55	$23.99	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $23.99	Professional		$8.51	$14.45	$23.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $22.91	Professional		$12.88	$14.45	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $32.36	Professional		$11.48	$14.45	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $102.33	Facility		$69.18	$69.18	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $17.38	Professional		$8.71	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $42.66	Facility		$12.02	$17.38	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $32.36	Professional		$8.51	$13.49	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $24.55	Professional		$11.48	$14.79	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.71 / $14.45	Facility		$6.46	$8.71	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $28.84	Professional		$6.03	$8.71	$28.84