Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $93.33 / $165.96	Facility		$36.31	$93.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $128.82	Professional		$14.13	$19.05	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $51.29 / $109.65	Facility		$10.00	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.50 / $44.67	Professional		$8.71	$19.50	$44.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $218.78	Facility		$42.66	$85.11	$218.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $61.66	Professional		$12.59	$18.20	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $37.15 / $77.62	Facility		$14.45	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $33.11	Professional		$11.48	$20.89	$33.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $100.00	Professional		$21.88	$23.99	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $48.98	Professional		$17.38	$21.88	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $26.30	Professional		$13.18	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.99 / $56.23	Facility		$10.96	$23.99	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $43.65	Professional		$12.02	$19.50	$43.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.02 / $21.88	Facility		$9.77	$12.02	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $38.90	Professional		$9.12	$12.02	$38.90