Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $78.00 / $162.47	Facility		$18.38	$78.00	$162.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $24.62 / $122.00	Professional		$14.53	$24.62	$122.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $43.25 / $293.00	Facility		$19.64	$43.25	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $23.53 / $36.78	Professional		$8.86	$23.53	$36.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $85.50 / $203.69	Facility		$41.62	$85.50	$203.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.39 / $57.66	Professional		$10.07	$14.39	$57.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $23.53 / $60.00	Facility		$12.23	$23.53	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $20.65 / $27.36	Professional		$11.44	$20.65	$27.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $17.93 / $28.69	Professional		$15.94	$17.93	$28.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $17.93 / $39.45	Professional		$14.34	$17.93	$39.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.17 / $100.00	Facility		$50.00	$85.17	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $17.93 / $44.83	Facility		$14.88	$17.93	$44.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $17.93 / $26.55	Professional		$11.83	$17.93	$26.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $62.93	Professional		$62.93	$62.93	$62.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.26 / $22.32	Professional		$14.34	$16.26	$22.32
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.30 / $35.20	Professional		$7.53	$9.30	$35.20