Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $58.42 / $133.66	Facility		$13.67	$58.42	$133.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $15.49 / $43.06	Professional		$12.66	$15.49	$43.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $43.63 / $293.00	Facility		$19.82	$43.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.85 / $33.22	Professional		$7.24	$10.85	$33.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $80.50 / $168.24	Facility		$35.82	$80.50	$168.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.46 / $45.23	Professional		$8.02	$11.46	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $23.76 / $59.21	Facility		$11.76	$23.76	$59.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $19.29 / $26.84	Professional		$9.60	$19.29	$26.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $18.09 / $28.94	Professional		$14.10	$18.09	$28.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.09 / $39.44	Professional		$14.47	$18.09	$39.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.44 / $85.93 / $100.00	Facility		$66.44	$85.93	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $18.09 / $42.75	Facility		$9.05	$18.09	$42.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $17.80 / $27.89	Professional		$9.96	$17.80	$27.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $63.49 / $63.49	Professional		$63.49	$63.49	$63.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.09 / $25.33	Professional		$14.47	$18.09	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $11.12 / $30.42	Professional		$10.60	$11.12	$30.42