Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $107.15 / $181.97	Facility		$36.31	$107.15	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $79.43	Professional		$15.14	$23.99	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $87.10	Professional		$17.78	$40.74	$87.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $208.93	Facility		$46.77	$85.11	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $56.23	Professional		$15.85	$32.36	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $72.44 / $128.82	Facility		$24.55	$72.44	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $70.79	Professional		$16.60	$32.36	$70.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $38.02	Professional		$19.95	$26.30	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $56.23	Professional		$22.91	$26.92	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Professional		$199.53	$199.53	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $33.88	Professional		$22.91	$28.84	$33.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.84 / $46.77	Facility		$16.98	$28.84	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $69.18	Professional		$16.98	$32.36	$69.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $56.23	Professional		$24.55	$38.90	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.55 / $50.12	Professional		$14.13	$24.55	$50.12