Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $128.82 / $251.19	Facility		$46.77	$128.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $114.82	Professional		$19.95	$25.70	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $37.15 / $120.23	Facility		$8.71	$37.15	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $41.69 / $109.65	Professional		$12.02	$41.69	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $302.00	Facility		$48.98	$87.10	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $77.62	Professional		$17.78	$25.70	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $102.33	Facility		$19.95	$50.12	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $58.88	Professional		$17.38	$28.18	$58.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $47.86	Professional		$23.99	$30.20	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $67.61	Professional		$23.99	$30.20	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.38 / $30.20	Professional		$8.51	$17.38	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $75.86	Facility		$21.88	$34.67	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $72.44	Professional		$22.91	$28.18	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $44.67 / $74.13	Professional		$16.98	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.79 / $30.20	Facility		$8.51	$14.79	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.49 / $58.88	Professional		$12.59	$13.49	$58.88