Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $58.19 / $128.25	Facility		$13.57	$58.19	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.40 / $24.33	Professional		$10.26	$14.40	$24.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $14.11 / $73.31	Professional		$3.20	$14.11	$73.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $55.40 / $92.15	Facility		$26.15	$55.40	$92.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $17.60 / $31.34	Professional		$12.50	$17.60	$31.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $26.60 / $104.88	Professional		$12.51	$26.60	$104.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.98 / $21.50	Professional		$8.32	$10.98	$21.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $15.48 / $27.30	Professional		$13.27	$15.48	$27.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $91.95 / $119.55	Professional		$23.82	$91.95	$119.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $32.34 / $95.00	Professional		$9.52	$32.34	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $34.68 / $105.64	Professional		$13.17	$34.68	$105.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $48.68 / $48.68	Professional		$10.00	$48.68	$48.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $16.14 / $22.36	Professional		$10.98	$16.14	$22.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.16 / $32.82	Professional		$12.89	$15.16	$32.82