Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $134.90	Facility		$20.89	$53.70	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $64.57	Professional		$10.00	$16.98	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $51.29 / $109.65	Facility		$15.14	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.18 / $33.11	Professional		$7.24	$13.18	$33.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $125.89	Facility		$26.30	$61.66	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $30.20	Professional		$7.41	$10.47	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $37.15 / $77.62	Facility		$14.13	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.62 / $33.11	Professional		$8.91	$18.62	$33.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $34.67	Professional		$10.00	$21.88	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $47.86	Professional		$17.38	$21.88	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $26.30	Professional		$13.18	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $56.23	Facility		$10.96	$21.88	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $43.65	Professional		$9.12	$16.60	$43.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $21.88	Professional		$10.00	$14.13	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $21.88	Facility		$8.91	$12.02	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $36.31	Professional		$7.08	$10.00	$36.31