Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $88.56 / $202.61	Facility		$20.71	$88.56	$202.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $20.71 / $164.42	Professional		$12.78	$20.71	$164.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $61.67 / $293.00	Facility		$28.02	$61.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $15.59 / $40.11	Professional		$10.26	$15.59	$40.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.70 / $249.71	Facility		$48.20	$87.70	$249.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.37 / $60.45	Professional		$12.16	$17.37	$60.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $33.57 / $83.68	Facility		$16.62	$33.57	$83.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $30.98 / $40.26	Professional		$14.58	$30.98	$40.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $25.57 / $40.90	Professional		$20.45	$25.57	$40.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $25.57 / $55.74	Professional		$20.46	$25.57	$55.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $121.46 / $121.46	Facility		$55.00	$121.46	$121.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $12.78	Professional		$12.78	$12.78	$12.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $25.93 / $66.95	Facility		$17.89	$25.93	$66.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $25.57 / $42.37	Professional		$15.07	$25.57	$42.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $22.90 / $28.63	Professional		$20.46	$22.90	$28.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.67 / $39.47	Professional		$10.74	$11.67	$39.47