Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.20 / $177.83	Facility		$33.11	$91.20	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $104.71	Professional		$10.96	$15.14	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $36.31 / $79.43	Facility		$8.91	$36.31	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.49 / $42.66	Professional		$7.76	$13.49	$42.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $213.80	Facility		$35.48	$83.18	$213.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $45.71	Professional		$12.59	$17.78	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.30 / $57.54	Facility		$10.47	$26.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.85 / $26.30	Professional		$9.33	$15.85	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $25.12	Professional		$14.13	$15.85	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $34.67	Professional		$12.59	$15.85	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $100.00	Facility		$75.86	$75.86	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $15.85	Professional		$7.94	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $46.77	Facility		$13.18	$19.05	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $35.48	Professional		$9.33	$14.79	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $26.92	Professional		$12.59	$16.22	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.33 / $15.85	Facility		$7.08	$9.33	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $31.62	Professional		$6.61	$9.33	$31.62