Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $79.64 / $182.19	Facility		$18.62	$79.64	$182.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $20.61 / $140.82	Professional		$13.10	$20.61	$140.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $52.82 / $293.00	Facility		$24.00	$52.82	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $13.90 / $42.04	Professional		$8.76	$13.90	$42.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $87.40 / $226.78	Facility		$46.10	$87.40	$226.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $15.62 / $52.56	Professional		$10.93	$15.62	$52.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $28.76 / $71.70	Facility		$14.24	$28.76	$71.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $25.19 / $36.35	Professional		$12.94	$25.19	$36.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.90 / $35.04	Professional		$17.52	$21.90	$35.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.90 / $47.74	Professional		$17.52	$21.90	$47.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $104.03 / $104.03	Facility		$55.00	$104.03	$104.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $22.67 / $54.25	Facility		$15.33	$22.67	$54.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $21.90 / $38.08	Professional		$12.97	$21.90	$38.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $76.86 / $76.86	Professional		$76.86	$76.86	$76.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.90 / $30.66	Professional		$17.52	$21.90	$30.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.61 / $35.38	Professional		$9.19	$10.61	$35.38