Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $43.49 / $113.80	Facility		$9.09	$43.49	$113.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $10.30 / $70.38	Professional		$6.66	$10.30	$70.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $65.29 / $293.00	Facility		$29.66	$65.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $10.83 / $25.51	Professional		$6.79	$10.83	$25.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $67.61 / $111.88	Facility		$25.13	$67.61	$111.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.63 / $26.53	Professional		$5.34	$7.63	$26.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $35.54 / $87.30	Facility		$9.77	$35.54	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $28.96 / $41.30	Professional		$6.39	$28.96	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $27.07 / $43.31	Professional		$9.38	$27.07	$43.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $27.07 / $52.79	Professional		$21.66	$27.07	$52.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $128.58 / $128.58	Facility		$55.00	$128.58	$128.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $23.23 / $54.87	Facility		$11.00	$23.23	$54.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $16.23 / $32.47	Professional		$6.46	$16.23	$32.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $95.01 / $95.01	Professional		$95.01	$95.01	$95.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.66 / $27.07	Professional		$16.48	$21.66	$27.07
United Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $27.07 / $27.07	Facility		$11.37	$27.07	$27.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $11.37 / $45.65	Professional		$5.05	$11.37	$45.65