Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $117.39 / $392.78	Facility		$22.32	$117.39	$392.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $34.68 / $412.74	Professional		$22.03	$34.68	$412.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $154.83 / $376.01	Facility		$70.33	$154.83	$376.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $34.42 / $76.05	Professional		$25.68	$34.42	$76.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $100.00 / $383.93	Facility		$55.40	$100.00	$383.93
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 $41.72 / $90.37 / $210.06	Facility		$41.72	$90.37	$210.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $67.11 / $97.58	Professional		$21.98	$67.11	$97.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $64.19 / $99.00	Professional		$23.37	$64.19	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $64.19 / $125.17	Professional		$51.35	$64.19	$125.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $304.89 / $304.89	Facility		$102.70	$304.89	$304.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Professional		$32.09	$32.09	$32.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $59.66 / $152.94	Facility		$32.10	$59.66	$152.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $42.66 / $77.03	Professional		$22.82	$42.66	$77.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Professional		$225.30	$225.30	$225.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $39.72 / $57.77	Professional		$23.84	$39.72	$57.77
United Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $64.19 / $64.19	Facility		$26.96	$64.19	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $26.96 / $77.03	Professional		$17.14	$26.96	$77.03