Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $83.20 / $210.83	Facility		$21.55	$83.20	$210.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $19.45 / $110.77	Professional		$13.48	$19.45	$110.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $49.25 / $293.00	Facility		$22.37	$49.25	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $16.07 / $47.36	Professional		$10.08	$16.07	$47.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $259.91	Facility		$46.50	$89.10	$259.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $18.07 / $70.56	Professional		$12.66	$18.07	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $26.81 / $68.34	Facility		$14.14	$26.81	$68.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $24.78 / $36.14	Professional		$13.37	$24.78	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $20.42 / $32.67	Professional		$18.14	$20.42	$32.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $20.42 / $44.92	Professional		$16.34	$20.42	$44.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $137.27 / $140.97	Facility		$129.56	$137.27	$140.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Professional		$12.25	$12.25	$12.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $24.50 / $61.88	Facility		$16.94	$24.50	$61.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.42 / $40.84	Professional		$13.68	$20.42	$40.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $71.67 / $71.67	Professional		$71.67	$71.67	$71.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $20.42 / $28.59	Professional		$16.34	$20.42	$28.59
United Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $14.02 / $15.08	Facility		$9.19	$14.02	$15.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.25 / $39.47	Professional		$8.58	$12.25	$39.47