Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $69.90 / $159.91	Facility		$16.35	$69.90	$159.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.35 / $99.60	Professional		$10.30	$16.35	$99.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $37.36 / $293.00	Facility		$16.97	$37.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.20 / $35.90	Professional		$7.65	$12.20	$35.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $85.50 / $199.09	Facility		$40.11	$85.50	$199.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $13.72 / $74.34	Professional		$9.60	$13.72	$74.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $20.34 / $51.86	Facility		$10.74	$20.34	$51.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.82 / $27.71	Professional		$10.19	$18.82	$27.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $15.49 / $24.78	Professional		$13.77	$15.49	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.49 / $33.77	Professional		$12.39	$15.49	$33.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $177.00 / $190.00	Facility		$101.00	$177.00	$190.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.29 / $9.29 / $9.29	Professional		$9.29	$9.29	$9.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $18.53 / $44.27	Facility		$12.85	$18.53	$44.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.49 / $30.98	Professional		$10.19	$15.49	$30.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $54.36 / $54.36	Professional		$54.36	$54.36	$54.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $15.49 / $21.69	Professional		$12.39	$15.49	$21.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.21 / $29.76	Professional		$6.51	$9.21	$29.76