Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $89.00 / $252.64	Facility		$31.27	$89.00	$252.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $32.02 / $103.63	Professional		$19.88	$32.02	$103.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $86.20 / $312.00	Facility		$39.15	$86.20	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $21.72 / $68.47	Professional		$14.30	$21.72	$68.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $95.60 / $340.81	Facility		$53.40	$95.60	$340.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.71 / $82.48	Professional		$16.60	$23.71	$82.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $46.92 / $116.96	Facility		$23.23	$46.92	$116.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $40.89 / $54.21	Professional		$19.75	$40.89	$54.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $35.74 / $57.18	Professional		$28.59	$35.74	$57.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $35.74 / $77.91	Professional		$28.59	$35.74	$77.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $169.77 / $169.77	Facility		$80.00	$169.77	$169.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Professional		$21.44	$21.44	$21.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $35.74 / $88.60	Facility		$23.23	$35.74	$88.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $27.52 / $57.57	Professional		$19.93	$27.52	$57.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $125.44 / $125.44	Professional		$125.44	$125.44	$125.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $32.02 / $40.03	Professional		$28.59	$32.02	$40.03
United Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $35.74 / $35.74	Facility		$15.01	$35.74	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $16.11 / $68.66	Professional		$15.01	$16.11	$68.66