Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $134.90 / $331.13	Facility		$48.98	$134.90	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $194.98	Professional		$21.88	$25.70	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $69.18 / $147.91	Facility		$16.98	$69.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $83.18	Professional		$14.79	$21.88	$83.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $398.11	Facility		$54.95	$97.72	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $85.11	Professional		$17.38	$25.12	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $109.65	Facility		$19.95	$50.12	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $48.98	Professional		$17.38	$29.51	$48.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $47.86	Professional		$26.30	$29.51	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $64.57	Professional		$23.99	$29.51	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $29.51	Professional		$14.79	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $77.62	Facility		$15.85	$35.48	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $67.61	Professional		$17.38	$27.54	$67.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $50.12	Professional		$23.99	$30.20	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $29.51	Facility		$13.49	$17.78	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $58.88	Professional		$12.59	$17.78	$58.88