Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $97.64 / $225.00	Facility		$23.42	$97.64	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $23.42 / $128.91	Professional		$15.51	$23.42	$128.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $48.36 / $293.00	Facility		$21.49	$48.36	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $17.69 / $58.62	Professional		$9.90	$17.69	$58.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $87.40 / $253.02	Facility		$45.50	$87.40	$253.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $17.76 / $65.45	Professional		$14.21	$17.76	$65.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $34.40 / $69.79	Facility		$14.72	$34.40	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $21.64 / $98.51	Professional		$13.16	$21.64	$98.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $20.50 / $27.07	Professional		$17.82	$20.50	$27.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.06 / $45.44	Professional		$18.05	$23.06	$45.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $95.52 / $150.00	Facility		$36.72	$95.52	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Professional		$20.05	$20.05	$20.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $33.49 / $63.08	Facility		$19.45	$33.49	$63.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $25.06 / $61.24	Professional		$14.78	$25.06	$61.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.37 / $70.37	Professional		$70.37	$70.37	$70.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $20.45 / $34.09	Professional		$16.04	$20.45	$34.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $44.46	Professional		$8.42	$12.03	$44.46