Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.06 / $199.12 / $500.13	Facility		$44.06	$199.12	$500.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $45.12 / $202.23	Professional		$28.01	$45.12	$202.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $183.46 / $455.61	Facility		$85.22	$183.46	$455.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $31.50 / $102.25	Professional		$29.72	$31.50	$102.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $478.52	Facility		$58.90	$100.00	$478.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $33.40 / $100.00	Professional		$23.38	$33.40	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $102.13 / $250.78	Facility		$45.44	$102.13	$250.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $83.41 / $118.74	Professional		$27.88	$83.41	$118.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $77.78 / $99.00	Professional		$41.07	$77.78	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $77.78 / $173.50	Professional		$62.22	$77.78	$173.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $369.46 / $369.46	Facility		$151.40	$369.46	$369.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $38.89 / $38.89	Professional		$38.89	$38.89	$38.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.06 / $72.81 / $185.38	Facility		$44.06	$72.81	$185.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $51.85 / $93.34	Professional		$28.06	$51.85	$93.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $273.00 / $273.00	Professional		$273.00	$273.00	$273.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $62.22 / $70.00	Professional		$41.89	$62.22	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $32.67 / $104.35	Professional		$22.13	$32.67	$104.35