Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $58.88 / $114.82	Facility		$21.38	$58.88	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $67.61	Professional		$7.08	$10.00	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $23.99 / $51.29	Facility		$5.89	$23.99	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $28.84	Professional		$5.01	$8.71	$28.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $138.04	Facility		$22.91	$64.57	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $29.51	Professional		$8.13	$11.48	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.98 / $37.15	Facility		$6.76	$16.98	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.23 / $16.98	Professional		$6.03	$10.23	$16.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $16.22	Professional		$6.17	$10.23	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $22.39	Professional		$8.13	$10.23	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $114.82	Facility		$104.71	$104.71	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $10.23	Professional		$5.13	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.30 / $33.88	Facility		$8.51	$12.30	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.55 / $22.91	Professional		$6.03	$9.55	$22.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $14.79	Professional		$8.13	$9.77	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.17 / $10.23	Facility		$4.57	$6.17	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.17 / $20.42	Professional		$4.27	$6.17	$20.42