Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $67.20 / $143.12	Facility		$14.63	$67.20	$143.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.52 / $16.80	Professional		$10.43	$12.52	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $33.89 / $293.00	Facility		$15.39	$33.89	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.06 / $32.18	Professional		$6.94	$11.06	$32.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.39 / $84.45 / $178.20	Facility		$36.39	$84.45	$178.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.43 / $67.44	Professional		$8.69	$12.43	$67.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $18.44 / $47.02	Facility		$9.72	$18.44	$47.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.89 / $24.70	Professional		$9.11	$16.89	$24.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.05 / $22.48	Professional		$12.49	$14.05	$22.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.05 / $30.63	Professional		$11.24	$14.05	$30.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $120.35 / $120.35	Facility		$94.65	$120.35	$120.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $8.43 / $8.43	Professional		$8.43	$8.43	$8.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $16.86 / $45.28	Facility		$11.65	$16.86	$45.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.05 / $28.10	Professional		$9.27	$14.05	$28.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $49.31 / $49.31	Professional		$49.31	$49.31	$49.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.05 / $19.67	Professional		$11.24	$14.05	$19.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $14.05 / $14.05	Facility		$5.90	$14.05	$14.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.43 / $27.31	Professional		$5.90	$8.43	$27.31