Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.83 / $124.03 / $345.10	Facility		$35.83	$124.03	$345.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $30.39 / $40.60	Professional		$25.20	$30.39	$40.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $81.86 / $312.00	Facility		$37.19	$81.86	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $26.74 / $79.59	Professional		$16.76	$26.74	$79.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $97.40 / $430.66	Facility		$56.92	$97.40	$430.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.06 / $97.39	Professional		$21.04	$30.06	$97.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $44.56 / $113.61	Facility		$23.49	$44.56	$113.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $41.14 / $60.23	Professional		$22.07	$41.14	$60.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $33.94 / $54.30	Professional		$30.17	$33.94	$54.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $33.94 / $75.70	Professional		$27.15	$33.94	$75.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $175.00 / $175.00	Facility		$64.25	$175.00	$175.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $39.65 / $97.00	Facility		$28.16	$39.65	$97.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $33.94 / $67.88	Professional		$22.49	$33.94	$67.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $119.12 / $119.12	Professional		$119.12	$119.12	$119.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $33.94 / $47.52	Professional		$27.15	$33.94	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $65.20	Professional		$14.25	$20.36	$65.20