Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $75.97 / $173.79	Facility		$17.77	$75.97	$173.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $17.77 / $108.28	Professional		$11.20	$17.77	$108.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $40.61 / $293.00	Facility		$18.45	$40.61	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.26 / $42.65	Professional		$8.32	$13.26	$42.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $86.00 / $216.38	Facility		$43.62	$86.00	$216.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.90 / $58.19	Professional		$10.43	$14.90	$58.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $21.79 / $56.39	Facility		$11.65	$21.79	$56.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $20.41 / $30.12	Professional		$11.03	$20.41	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $16.84 / $26.94	Professional		$14.97	$16.84	$26.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.84 / $36.71	Professional		$13.47	$16.84	$36.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $80.19 / $100.00	Facility		$58.00	$80.19	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $19.50 / $48.10	Facility		$8.93	$19.50	$48.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.84 / $33.68	Professional		$11.13	$16.84	$33.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $59.10	Professional		$59.10	$59.10	$59.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.84 / $23.58	Professional		$13.47	$16.84	$23.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.10 / $30.58	Professional		$7.07	$10.10	$30.58