Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $102.33 / $223.87	Facility		$33.88	$102.33	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $87.10	Professional		$14.13	$21.88	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $45.71 / $97.72	Facility		$11.22	$45.71	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.45 / $41.69	Professional		$8.13	$14.45	$41.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $263.03	Facility		$44.67	$87.10	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $56.23	Professional		$15.49	$22.39	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.11 / $72.44	Facility		$13.18	$33.11	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $30.20	Professional		$10.47	$15.49	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $19.50 / $31.62	Professional		$5.37	$19.50	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $43.65	Professional		$15.49	$19.50	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Facility		$95.50	$95.50	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $23.44	Professional		$11.75	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $56.23	Facility		$16.22	$23.44	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $44.67	Professional		$10.47	$15.49	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $19.50	Professional		$5.37	$7.59	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $11.75 / $19.50	Facility		$8.71	$11.75	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $38.90	Professional		$8.13	$11.75	$38.90