Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $87.48 / $188.82	Facility		$19.30	$87.48	$188.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.29 / $29.12	Professional		$12.80	$16.29	$29.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $44.09 / $293.00	Facility		$20.03	$44.09	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.40 / $46.88	Professional		$9.02	$14.40	$46.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $234.97	Facility		$45.10	$87.40	$234.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $16.19 / $63.20	Professional		$11.33	$16.19	$63.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $24.00 / $61.18	Facility		$12.65	$24.00	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.30 / $32.53	Professional		$11.88	$22.30	$32.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.28 / $29.25	Professional		$16.25	$18.28	$29.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $18.28 / $40.22	Professional		$14.62	$18.28	$40.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $187.00 / $189.00	Facility		$79.00	$187.00	$189.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Professional		$9.14	$9.14	$9.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $21.87 / $52.25	Facility		$15.16	$21.87	$52.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.28 / $36.56	Professional		$12.06	$18.28	$36.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $64.16 / $64.16	Professional		$64.16	$64.16	$64.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $18.28 / $25.59	Professional		$14.62	$18.28	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $35.36	Professional		$7.68	$10.97	$35.36