Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $76.68 / $182.19	Facility		$20.45	$76.68	$182.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $20.61 / $154.71	Professional		$15.79	$20.61	$154.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $58.03 / $293.00	Facility		$26.36	$58.03	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.31 / $42.04	Professional		$9.61	$14.31	$42.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $87.40 / $226.78	Facility		$46.50	$87.40	$226.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $15.62 / $54.36	Professional		$10.93	$15.62	$54.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $31.59 / $78.75	Facility		$15.64	$31.59	$78.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $27.67 / $36.65	Professional		$12.97	$27.67	$36.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $24.06 / $38.50	Professional		$16.50	$24.06	$38.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $24.06 / $52.45	Professional		$19.25	$24.06	$52.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $114.29 / $114.29	Facility		$58.01	$114.29	$114.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $14.43 / $14.43	Professional		$14.43	$14.43	$14.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $24.40 / $57.16	Facility		$16.51	$24.40	$57.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $22.81 / $38.08	Professional		$13.10	$22.81	$38.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $84.45 / $84.45	Professional		$84.45	$84.45	$84.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $24.06 / $33.68	Professional		$19.25	$24.06	$33.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.61 / $35.25	Professional		$10.11	$10.61	$35.25