Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $96.12 / $363.75	Facility		$18.54	$96.12	$363.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.47 / $27.39	Professional		$9.72	$12.47	$27.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $31.57 / $293.00	Facility		$14.34	$31.57	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.31 / $28.38	Professional		$6.46	$10.31	$28.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $81.02 / $170.10	Facility		$33.90	$81.02	$170.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $62.83	Professional		$8.11	$11.59	$62.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $17.19 / $43.83	Facility		$9.07	$17.19	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.95 / $23.49	Professional		$8.49	$15.95	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $13.09 / $20.94	Professional		$11.47	$13.09	$20.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.09 / $29.20	Professional		$10.47	$13.09	$29.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.96 / $171.59 / $171.59	Facility		$134.96	$171.59	$171.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $18.38 / $25.00	Professional		$17.68	$18.38	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $7.85	Professional		$7.85	$7.85	$7.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $15.67 / $37.42	Facility		$10.86	$15.67	$37.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.09 / $26.18	Professional		$8.81	$13.09	$26.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $45.94 / $45.94	Professional		$45.94	$45.94	$45.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.09 / $18.32	Professional		$10.47	$13.09	$18.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.68 / $22.86	Professional		$5.50	$7.68	$22.86