Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $67.47 / $166.18	Facility		$17.25	$67.47	$166.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.83 / $42.48	Professional		$8.66	$14.83	$42.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $39.40 / $293.00	Facility		$17.89	$39.40	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $12.88 / $38.40	Professional		$8.07	$12.88	$38.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $86.00 / $210.04	Facility		$42.32	$86.00	$210.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $14.47 / $56.50	Professional		$10.13	$14.47	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $21.45 / $54.69	Facility		$11.31	$21.45	$54.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.77 / $28.91	Professional		$10.61	$19.77	$28.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.34 / $26.14	Professional		$14.52	$16.34	$26.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $16.34 / $35.95	Professional		$13.07	$16.34	$35.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $102.67 / $129.00	Facility		$96.90	$102.67	$129.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Professional		$9.80	$9.80	$9.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $19.61 / $53.30	Facility		$13.56	$19.61	$53.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.34 / $32.68	Professional		$10.90	$16.34	$32.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $57.35	Professional		$57.35	$57.35	$57.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $16.34 / $22.88	Professional		$13.07	$16.34	$22.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.80 / $32.46	Professional		$6.86	$9.80	$32.46