Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $229.09 / $15,848.93	Facility		$43.65	$229.09	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $117.49	Professional		$12.88	$16.98	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $41.69 / $91.20	Facility		$10.23	$41.69	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $46.77	Professional		$8.91	$14.79	$46.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $223.87	Facility		$39.81	$85.11	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $51.29	Professional		$13.49	$19.05	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $66.07	Facility		$12.02	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $30.20	Professional		$10.72	$18.20	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $100.00	Professional		$18.20	$19.95	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $39.81	Professional		$14.45	$18.20	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $21.38	Professional		$10.72	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $51.29	Facility		$14.79	$21.38	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $40.74	Professional		$10.72	$16.98	$40.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.72 / $18.20	Facility		$8.13	$10.72	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $36.31	Professional		$7.59	$10.72	$36.31