Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $63.99 / $146.38	Facility		$14.96	$63.99	$146.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $16.55 / $84.17	Professional		$9.38	$16.55	$84.17
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 / $11.17 / $27.74	Professional		$6.46	$11.17	$27.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $84.80 / $182.25	Facility		$36.14	$84.80	$182.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $12.55 / $62.83	Professional		$8.78	$12.55	$62.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $17.57 / $43.83	Facility		$9.15	$17.57	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $16.11 / $23.49	Professional		$8.81	$16.11	$23.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.09 / $20.94	Professional		$11.64	$13.09	$20.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.09 / $28.54	Professional		$10.47	$13.09	$28.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $113.00	Facility		$70.00	$70.00	$113.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $6.54	Professional		$6.54	$6.54	$6.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $15.71 / $45.00	Facility		$9.82	$15.71	$45.00
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 / $8.32 / $25.15	Professional		$5.50	$8.32	$25.15