Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $125.74 / $287.64	Facility		$29.41	$125.74	$287.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $32.54 / $193.99	Professional		$20.68	$32.54	$193.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $72.77 / $312.00	Facility		$33.06	$72.77	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $21.95 / $63.84	Professional		$13.76	$21.95	$63.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $92.60 / $354.56	Facility		$53.90	$92.60	$354.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $24.67 / $80.95	Professional		$17.27	$24.67	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $36.76 / $45.95	Professional		$34.69	$36.76	$45.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $30.17 / $48.27	Professional		$24.76	$30.17	$48.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $30.17 / $68.37	Professional		$24.14	$30.17	$68.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $189.00 / $299.00	Facility		$137.00	$189.00	$299.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Professional		$15.08	$15.08	$15.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $30.17 / $75.43	Facility		$21.12	$30.17	$75.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $33.19 / $59.64	Professional		$27.76	$33.19	$59.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $105.89 / $105.89	Professional		$105.89	$105.89	$105.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $30.17 / $42.24	Professional		$24.14	$30.17	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $16.76 / $54.16	Professional		$12.67	$16.76	$54.16