Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $131.22 / $426.18	Facility		$44.86	$131.22	$426.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $35.69 / $306.00	Professional		$25.89	$35.69	$306.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $114.79 / $312.00	Facility		$52.14	$114.79	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.50 / $99.03	Professional		$17.05	$23.50	$99.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $581.57	Facility		$58.90	$100.00	$581.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $19.18 / $100.00	Professional		$13.43	$19.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $61.59 / $159.29	Facility		$32.95	$61.59	$159.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $57.72 / $84.33	Professional		$31.19	$57.72	$84.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $47.59 / $76.14	Professional		$36.74	$47.59	$76.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $47.59 / $103.75	Professional		$38.07	$47.59	$103.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $227.61 / $227.61	Facility		$85.00	$227.61	$227.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $23.79 / $23.79	Professional		$23.79	$23.79	$23.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $49.55 / $118.98	Facility		$25.22	$49.55	$118.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $47.59 / $95.18	Professional		$31.53	$47.59	$95.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $167.04 / $167.04	Professional		$167.04	$167.04	$167.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $47.59 / $66.63	Professional		$38.07	$47.59	$66.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.31 / $94.55	Professional		$19.98	$28.31	$94.55