Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $88.25 / $201.91	Facility		$20.64	$88.25	$201.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $22.84 / $125.77	Professional		$14.52	$22.84	$125.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $47.18 / $293.00	Facility		$21.43	$47.18	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $15.41 / $45.50	Professional		$9.66	$15.41	$45.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $87.70 / $248.89	Facility		$45.48	$87.70	$248.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.32 / $67.59	Professional		$12.12	$17.32	$67.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $25.67 / $65.45	Facility		$13.54	$25.67	$65.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $23.60 / $34.94	Professional		$12.73	$23.60	$34.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $19.55 / $31.30	Professional		$17.39	$19.55	$31.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $19.55 / $42.64	Professional		$15.65	$19.55	$42.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $96.05 / $241.00	Facility		$93.18	$96.05	$241.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $22.84 / $54.60	Facility		$14.67	$22.84	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.55 / $39.11	Professional		$12.98	$19.55	$39.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $68.65 / $68.65	Professional		$68.65	$68.65	$68.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $19.55 / $27.38	Professional		$15.65	$19.55	$27.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.74 / $37.57	Professional		$8.22	$11.74	$37.57