Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $133.55 / $754.60	Facility		$25.62	$133.55	$754.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.62 / $176.08	Professional		$17.14	$25.62	$176.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $51.67 / $293.00	Facility		$22.96	$51.67	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $27.32 / $85.91	Professional		$12.13	$27.32	$85.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $87.40 / $270.27	Facility		$47.80	$87.40	$270.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.96 / $69.68	Professional		$13.27	$18.96	$69.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $36.75 / $74.56	Facility		$15.73	$36.75	$74.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $23.10 / $105.18	Professional		$14.01	$23.10	$105.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.42 / $28.92	Professional		$16.80	$21.42	$28.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $24.63 / $48.54	Professional		$19.28	$24.63	$48.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $301.72 / $301.72	Facility		$37.27	$301.72	$301.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $386.73 / $397.33	Professional		$160.65	$386.73	$397.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $32.38 / $69.04	Facility		$20.01	$32.38	$69.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $25.92 / $71.14	Professional		$15.78	$25.92	$71.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $75.18 / $75.18	Professional		$75.18	$75.18	$75.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $21.85 / $36.40	Professional		$17.14	$21.85	$36.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $18.21 / $58.97	Professional		$12.85	$18.21	$58.97