Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $81.28 / $173.78	Facility		$30.20	$81.28	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $100.00	Professional		$10.96	$15.14	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $35.48 / $75.86	Facility		$8.71	$35.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $44.67	Professional		$7.59	$13.18	$44.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $204.17	Facility		$34.67	$81.28	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $43.65	Professional		$12.30	$17.38	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.70 / $56.23	Facility		$10.23	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $25.70	Professional		$9.12	$15.49	$25.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $24.55	Professional		$13.49	$15.14	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $33.88	Professional		$12.30	$15.14	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $15.14	Professional		$7.59	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $45.71	Facility		$12.59	$18.20	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $34.67	Professional		$9.12	$14.45	$34.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $26.30	Professional		$12.30	$15.49	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.12 / $15.14	Facility		$6.92	$9.12	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $30.90	Professional		$6.46	$9.12	$30.90