Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $97.43 / $231.43	Facility		$23.66	$97.43	$231.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.66 / $121.59	Professional		$19.89	$23.66	$121.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $37.19 / $293.00	Facility		$16.89	$37.19	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $18.25 / $104.73	Professional		$11.97	$18.25	$104.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $90.00 / $285.33	Facility		$50.60	$90.00	$285.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $19.84 / $69.06	Professional		$13.89	$19.84	$69.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $39.29 / $97.93	Facility		$19.45	$39.29	$97.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $33.35 / $58.77	Professional		$17.95	$33.35	$58.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $29.92 / $47.87	Professional		$23.93	$29.92	$47.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $29.92 / $66.73	Professional		$23.94	$29.92	$66.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $183.39 / $183.39	Facility		$81.48	$183.39	$183.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $14.96	Professional		$8.60	$8.60	$14.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $31.02 / $71.06	Facility		$21.79	$31.02	$71.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $29.18 / $58.77	Professional		$17.95	$29.18	$58.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $105.01 / $105.01	Professional		$105.01	$105.01	$105.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $43.53 / $60.94	Professional		$16.21	$43.53	$60.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $13.48 / $50.48	Professional		$12.57	$13.48	$50.48