Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $72.53 / $161.52	Facility		$16.96	$72.53	$161.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $18.77 / $140.05	Professional		$11.86	$18.77	$140.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $52.53 / $293.00	Facility		$23.86	$52.53	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.52 / $32.67	Professional		$8.71	$18.52	$32.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $86.00 / $208.01	Facility		$44.09	$86.00	$208.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.14 / $70.01	Professional		$9.90	$14.14	$70.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $28.60 / $71.30	Facility		$14.16	$28.60	$71.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.78 / $33.04	Professional		$12.00	$24.78	$33.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $23.96 / $99.00	Professional		$21.78	$23.96	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $21.78 / $47.48	Professional		$17.42	$21.78	$47.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $103.46 / $103.46	Facility		$80.00	$103.46	$103.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $13.07 / $13.07	Professional		$13.07	$13.07	$13.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $21.78 / $53.05	Facility		$10.89	$21.78	$53.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $19.82 / $27.10	Professional		$12.73	$19.82	$27.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $76.44	Professional		$76.44	$76.44	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.50 / $43.27	Professional		$9.15	$9.50	$43.27