Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $56.30 / $128.80	Facility		$13.17	$56.30	$128.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.57 / $108.02	Professional		$9.27	$14.57	$108.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $40.52 / $293.00	Facility		$18.41	$40.52	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.11 / $29.73	Professional		$8.30	$10.11	$29.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $78.61 / $162.10	Facility		$34.51	$78.61	$162.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.05 / $43.28	Professional		$7.74	$11.05	$43.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $22.06 / $56.24	Facility		$10.92	$22.06	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $20.07 / $25.81	Professional		$9.19	$20.07	$25.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $16.80 / $26.88	Professional		$13.58	$16.80	$26.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $36.61	Professional		$13.44	$16.80	$36.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $79.80 / $100.00	Facility		$55.00	$79.80	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $16.80 / $42.59	Facility		$10.92	$16.80	$42.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $12.94 / $26.82	Professional		$4.92	$12.94	$26.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Professional		$58.96	$58.96	$58.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $23.52	Professional		$13.44	$16.80	$23.52
United Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $16.80 / $16.80	Facility		$7.06	$16.80	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.56 / $25.70	Professional		$7.06	$7.56	$25.70