Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $127.50 / $240.13	Facility		$23.42	$127.50	$240.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.19 / $71.17	Professional		$14.89	$23.19	$71.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $47.29 / $293.00	Facility		$21.49	$47.29	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.27 / $54.18	Professional		$9.90	$16.27	$54.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $88.82 / $255.26	Facility		$46.23	$88.82	$255.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $67.67	Professional		$12.43	$17.76	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $26.32 / $67.09	Facility		$13.88	$26.32	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $23.94 / $61.24	Professional		$13.16	$23.94	$61.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.05 / $32.08	Professional		$16.23	$20.05	$32.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $22.06 / $45.44	Professional		$17.86	$22.06	$45.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.52 / $95.52	Facility		$55.00	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $20.05	Professional		$10.02	$10.02	$20.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $24.06 / $56.62	Facility		$16.64	$24.06	$56.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $23.94 / $55.02	Professional		$13.76	$23.94	$55.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.37 / $70.37	Professional		$70.37	$70.37	$70.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.05 / $27.61	Professional		$16.04	$18.05	$27.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.93 / $38.77	Professional		$8.42	$11.93	$38.77