Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $88.45 / $179.25	Facility		$14.58	$88.45	$179.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $14.41 / $79.00	Professional		$9.48	$14.41	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.69 / $293.00	Facility		$13.49	$29.69	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $10.91 / $65.78	Professional		$5.95	$10.91	$65.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $77.09 / $156.61	Facility		$31.88	$77.09	$156.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $10.67 / $59.09	Professional		$7.47	$10.67	$59.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $16.16 / $41.20	Facility		$8.34	$16.16	$41.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $14.87 / $20.12	Professional		$8.11	$14.87	$20.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $13.54 / $99.00	Professional		$12.31	$13.54	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.31 / $28.31	Professional		$9.85	$12.31	$28.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $129.33 / $132.82	Facility		$122.07	$129.33	$132.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $7.38 / $7.38	Professional		$7.38	$7.38	$7.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $14.52 / $35.04	Facility		$9.99	$14.52	$35.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.31 / $24.62	Professional		$8.11	$12.31	$24.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $43.20	Professional		$43.20	$43.20	$43.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.31 / $17.23	Professional		$9.85	$12.31	$17.23
United Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $12.31 / $12.31	Facility		$5.17	$12.31	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $10.10 / $21.05	Professional		$7.39	$10.10	$21.05