Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $218.78	Facility		$44.67	$112.20	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $158.49	Professional		$16.98	$22.91	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.26 / $128.82	Facility		$17.78	$60.26	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $51.29	Professional		$10.23	$17.78	$51.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $263.03	Facility		$46.77	$87.10	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $56.23	Professional		$15.49	$22.39	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $87.10	Facility		$16.98	$42.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.99 / $38.90	Professional		$13.80	$23.99	$38.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $281.84	Facility		$120.23	$120.23	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $25.70	Professional		$12.88	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.51 / $67.61	Facility		$18.62	$29.51	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $51.29	Professional		$14.45	$23.99	$51.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $34.67	Professional		$20.42	$22.91	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $25.70	Facility		$11.48	$14.13	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $45.71	Professional		$10.72	$14.45	$45.71