Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $199.53	Facility		$38.90	$91.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $128.82	Professional		$15.85	$20.89	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $56.23 / $120.23	Facility		$11.22	$56.23	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $50.12	Professional		$9.55	$17.38	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $239.88	Facility		$44.67	$85.11	$239.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $61.66	Professional		$14.13	$20.42	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $81.28	Facility		$15.85	$40.74	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $36.31	Professional		$11.75	$17.78	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $38.90	Professional		$16.60	$23.99	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $52.48	Professional		$19.05	$23.99	$52.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $28.84	Professional		$14.45	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $61.66	Facility		$17.38	$27.54	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $47.86	Professional		$12.88	$18.62	$47.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $40.74	Professional		$19.05	$24.55	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $23.99	Facility		$10.72	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $42.66	Professional		$10.00	$14.45	$42.66