Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $107.15	Facility		$20.89	$54.95	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $77.62	Professional		$10.00	$12.88	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $38.02 / $81.28	Facility		$7.59	$38.02	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.22 / $32.36	Professional		$6.61	$11.22	$32.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $128.82	Facility		$30.90	$75.86	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $33.11	Professional		$7.59	$10.96	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $27.54 / $54.95	Facility		$10.72	$27.54	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $24.55	Professional		$6.31	$10.23	$24.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.22 / $26.30	Professional		$6.92	$16.22	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $36.31	Professional		$13.18	$16.22	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $16.22	Professional		$8.13	$16.22	$16.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.22 / $41.69	Facility		$8.13	$16.22	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $32.36	Professional		$6.92	$10.96	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $16.60	Professional		$9.77	$13.18	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.91 / $114.82	Facility		$7.08	$8.91	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $27.54	Professional		$5.62	$8.71	$27.54