Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $123.03 / $257.04	Facility		$40.74	$123.03	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $131.83	Professional		$15.14	$22.91	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $46.77 / $100.00	Facility		$11.48	$46.77	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $56.23	Professional		$10.00	$19.95	$56.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $269.15	Facility		$44.67	$87.10	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $54.95	Professional		$15.85	$22.39	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $74.13	Facility		$13.49	$33.11	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $56.23	Professional		$13.18	$21.88	$56.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $26.92	Professional		$16.22	$19.95	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $35.48	Professional		$16.22	$20.89	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $19.95	Professional		$10.00	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $56.23	Facility		$16.60	$25.12	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $53.70	Professional		$13.18	$21.88	$53.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $27.54	Professional		$16.22	$18.20	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.02 / $19.95	Facility		$9.12	$12.02	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $39.81	Professional		$8.51	$12.02	$39.81