Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $76.48 / $165.04	Facility		$16.87	$76.48	$165.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $18.67 / $102.82	Professional		$11.87	$18.67	$102.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $38.57 / $293.00	Facility		$17.52	$38.57	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $12.59 / $37.04	Professional		$7.90	$12.59	$37.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $85.97 / $205.44	Facility		$41.41	$85.97	$205.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $14.16 / $55.25	Professional		$9.91	$14.16	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $20.69 / $53.51	Facility		$11.07	$20.69	$53.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $19.41 / $28.31	Professional		$10.40	$19.41	$28.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $15.99 / $25.58	Professional		$14.21	$15.99	$25.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $34.86	Professional		$12.79	$15.99	$34.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $76.65 / $100.00	Facility		$55.00	$76.65	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $7.99	Professional		$7.99	$7.99	$7.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $18.48 / $41.56	Facility		$11.99	$18.48	$41.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $15.99 / $31.98	Professional		$10.67	$15.99	$31.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $56.12 / $56.12	Professional		$56.12	$56.12	$56.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $22.39	Professional		$12.79	$15.99	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.59 / $30.90	Professional		$6.72	$9.59	$30.90