Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $54.95 / $138.04	Facility		$20.89	$54.95	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $46.77 / $181.97	Professional		$10.00	$46.77	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $141.25 / $302.00	Facility		$28.18	$141.25	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $24.55 / $56.23	Professional		$7.41	$24.55	$56.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $158.49	Facility		$28.18	$75.86	$158.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $83.18	Professional		$7.41	$10.72	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $102.33 / $204.17	Facility		$15.14	$102.33	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $26.30 / $93.33	Professional		$7.94	$26.30	$93.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $60.26 / $97.72	Professional		$10.00	$60.26	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $134.90	Professional		$48.98	$60.26	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $72.44	Professional		$36.31	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $48.98 / $154.88	Facility		$16.22	$48.98	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $25.70 / $114.82	Professional		$8.91	$25.70	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $60.26	Professional		$10.00	$14.13	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $33.11 / $60.26	Facility		$8.91	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $25.70 / $102.33	Professional		$7.08	$25.70	$102.33