Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $14.20 / $139.56	Facility		$12.96	$14.20	$139.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $18.27 / $95.90	Professional		$14.20	$18.27	$95.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $18.60 / $49.17	Facility		$15.44	$18.60	$49.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $21.47 / $44.18	Professional		$21.47	$21.47	$44.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $66.18 / $102.25	Facility		$50.94	$66.18	$102.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $87.28 / $149.50	Professional		$26.14	$87.28	$149.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $29.06 / $48.08	Facility		$27.70	$29.06	$48.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $31.36	Professional		$24.70	$24.70	$31.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $48.38 / $58.06	Professional		$38.70	$48.38	$58.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $33.86 / $74.98	Professional		$29.03	$33.86	$74.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $229.81 / $229.81	Facility		$96.45	$229.81	$229.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.81 / $254.79 / $321.23	Professional		$248.81	$254.79	$321.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $42.36 / $48.38	Facility		$13.24	$42.36	$48.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $29.06 / $45.15	Professional		$24.70	$29.06	$45.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $91.29 / $91.29	Professional		$91.29	$91.29	$91.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $38.70 / $43.54	Professional		$33.21	$38.70	$43.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $20.51 / $45.96	Professional		$18.42	$20.51	$45.96