Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $93.80 / $250.77	Facility		$20.69	$93.80	$250.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.45 / $250.77	Professional		$14.56	$23.45	$250.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.73 / $94.07 / $312.00	Facility		$42.73	$94.07	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $16.21 / $56.40	Professional		$15.44	$16.21	$56.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $89.50 / $249.52	Facility		$48.30	$89.50	$249.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $17.36 / $60.39	Professional		$12.15	$17.36	$60.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $50.47 / $125.74	Facility		$22.27	$50.47	$125.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $42.37 / $59.38	Professional		$14.52	$42.37	$59.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $39.00 / $62.40	Professional		$21.34	$39.00	$62.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $39.00 / $77.00	Professional		$31.20	$39.00	$77.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $185.25 / $185.25	Facility		$64.40	$185.25	$185.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $36.50 / $79.48	Facility		$23.45	$36.50	$79.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $23.92 / $46.80	Professional		$11.31	$23.92	$46.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $136.88 / $136.88	Professional		$136.88	$136.88	$136.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $38.71 / $53.14	Professional		$31.20	$38.71	$53.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.38 / $70.81	Professional		$11.50	$16.38	$70.81