Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $70.79 / $147.91	Facility		$26.92	$70.79	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $85.11	Professional		$8.91	$12.02	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $30.20 / $64.57	Facility		$7.41	$30.20	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.96 / $38.02	Professional		$6.31	$10.96	$38.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $173.78	Facility		$28.84	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $37.15	Professional		$10.23	$14.79	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $46.77	Facility		$8.71	$21.38	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.88 / $21.38	Professional		$7.76	$12.88	$21.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $20.42	Professional		$11.48	$12.88	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.84	Professional		$10.23	$12.88	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $169.82	Facility		$128.82	$128.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $15.49	Professional		$7.76	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $37.15	Facility		$10.72	$15.49	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $29.51	Professional		$7.76	$12.02	$29.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.76 / $12.88	Facility		$5.75	$7.76	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $25.70	Professional		$5.37	$7.76	$25.70