Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $75.50 / $174.17	Facility		$16.37	$75.50	$174.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.55 / $99.67	Professional		$13.50	$18.55	$99.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $37.39 / $293.00	Facility		$16.98	$37.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $14.52 / $66.47	Professional		$7.65	$14.52	$66.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $85.50 / $199.18	Facility		$40.15	$85.50	$199.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $13.72 / $74.40	Professional		$9.60	$13.72	$74.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $20.36 / $51.91	Facility		$10.74	$20.36	$51.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.82 / $25.87	Professional		$10.19	$18.82	$25.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.05 / $99.00	Professional		$15.50	$17.05	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $15.50 / $35.13	Professional		$12.40	$15.50	$35.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $101.29 / $101.29	Facility		$80.00	$101.29	$101.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $17.05 / $39.31	Facility		$12.85	$17.05	$39.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.50 / $25.87	Professional		$10.19	$15.50	$25.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $15.50 / $21.70	Professional		$12.40	$15.50	$21.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $12.99 / $29.78	Professional		$9.30	$12.99	$29.78