Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $109.82 / $262.50	Facility		$22.24	$109.82	$262.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $20.10 / $73.68	Professional		$13.76	$20.10	$73.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $45.92 / $293.00	Facility		$20.86	$45.92	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $15.00 / $48.86	Professional		$9.40	$15.00	$48.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $87.40 / $244.72	Facility		$45.10	$87.40	$244.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.86 / $65.84	Professional		$11.80	$16.86	$65.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $25.01 / $63.76	Facility		$13.17	$25.01	$63.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $22.78 / $31.61	Professional		$12.75	$22.78	$31.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $19.04 / $30.46	Professional		$16.93	$19.04	$30.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $19.04 / $43.15	Professional		$15.23	$19.04	$43.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $148.22 / $148.22	Facility		$116.57	$148.22	$148.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $22.85 / $61.40	Facility		$15.79	$22.85	$61.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $19.04 / $38.08	Professional		$12.75	$19.04	$38.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $66.83 / $66.83	Professional		$66.83	$66.83	$66.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $19.04 / $26.66	Professional		$15.23	$19.04	$26.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.33 / $36.58	Professional		$8.00	$11.33	$36.58