Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $218.78	Facility		$41.69	$109.65	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $128.82	Professional		$14.13	$20.89	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.22 / $100.00	Facility		$10.23	$11.22	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.44 / $70.79	Professional		$9.77	$23.44	$70.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $263.03	Facility		$44.67	$87.10	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $57.54	Professional		$15.49	$22.39	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.88 / $72.44	Facility		$13.18	$33.88	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $30.20	Professional		$12.59	$16.60	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $100.00	Professional		$19.50	$21.38	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $44.67	Professional		$15.85	$19.50	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $19.50	Professional		$9.77	$19.50	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.44 / $57.54	Facility		$14.79	$23.44	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $44.67	Professional		$11.48	$16.60	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.11	Professional		$15.85	$19.95	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.75 / $19.50	Facility		$8.91	$11.75	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $38.90	Professional		$8.32	$11.75	$38.90