Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $70.79 / $141.25	Facility		$26.30	$70.79	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.02 / $83.18	Professional		$8.32	$12.02	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $28.84 / $63.10	Facility		$7.08	$28.84	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.72 / $34.67	Professional		$6.17	$10.72	$34.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $165.96	Facility		$28.18	$75.86	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $36.31	Professional		$10.00	$14.13	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.38 / $52.48	Facility		$8.51	$21.38	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $22.39	Professional		$7.94	$14.45	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $19.95	Professional		$10.96	$12.59	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $28.18	Professional		$10.00	$12.59	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $338.84	Facility		$85.11	$85.11	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $14.79	Professional		$7.41	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $38.90	Facility		$10.23	$14.79	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $28.18	Professional		$7.41	$11.48	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $21.38	Professional		$10.00	$12.59	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.41 / $12.59	Facility		$5.62	$7.41	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $25.12	Professional		$5.25	$7.41	$25.12