Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $57.32 / $136.13	Facility		$13.92	$57.32	$136.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $15.40 / $102.82	Professional		$4.32	$15.40	$102.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $38.57 / $293.00	Facility		$17.52	$38.57	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $10.39 / $30.07	Professional		$6.51	$10.39	$30.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $81.40 / $169.56	Facility		$35.65	$81.40	$169.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $11.68 / $45.59	Professional		$8.18	$11.68	$45.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $20.69 / $52.31	Facility		$10.39	$20.69	$52.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $18.17 / $27.40	Professional		$9.34	$18.17	$27.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $25.58	Professional		$12.79	$15.99	$25.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $36.00	Professional		$12.79	$15.99	$36.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $75.95 / $75.95	Facility		$55.00	$75.95	$75.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $7.99	Professional		$7.99	$7.99	$7.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $17.20 / $41.19	Facility		$11.19	$17.20	$41.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $15.99 / $28.52	Professional		$9.68	$15.99	$28.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $56.12 / $56.12	Professional		$56.12	$56.12	$56.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $22.39	Professional		$12.79	$15.99	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.85 / $27.18	Professional		$6.72	$7.85	$27.18