Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $67.27 / $153.90	Facility		$15.73	$67.27	$153.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $17.41 / $96.58	Professional		$10.41	$17.41	$96.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $36.22 / $293.00	Facility		$16.46	$36.22	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $11.84 / $30.42	Professional		$7.42	$11.84	$30.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.00 / $191.45	Facility		$38.90	$85.00	$191.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $13.31 / $72.09	Professional		$9.32	$13.31	$72.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $19.72 / $50.26	Facility		$10.41	$19.72	$50.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $18.17 / $26.50	Professional		$9.76	$18.17	$26.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $15.02 / $24.03	Professional		$13.36	$15.02	$24.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.02 / $32.74	Professional		$12.02	$15.02	$32.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $71.94 / $100.00	Facility		$55.00	$71.94	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Professional		$7.51	$7.51	$7.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $17.37 / $38.99	Facility		$11.27	$17.37	$38.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $15.02 / $30.04	Professional		$9.97	$15.02	$30.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $52.72 / $52.72	Professional		$52.72	$52.72	$52.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.02 / $21.03	Professional		$12.02	$15.02	$21.03
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $15.02 / $15.02	Facility		$6.31	$15.02	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.82 / $26.24	Professional		$6.31	$8.82	$26.24