Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $12.70 / $171.76	Facility		$11.60	$12.70	$171.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.53 / $37.89	Professional		$12.06	$13.53	$37.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $16.71 / $28.27	Facility		$14.03	$16.71	$28.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.20 / $40.24	Professional		$17.80	$19.20	$40.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $63.79 / $91.46	Facility		$45.43	$63.79	$91.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $100.00 / $139.30	Professional		$50.32	$100.00	$139.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $47.60 / $58.41	Professional		$43.27	$47.60	$58.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $54.09 / $99.52	Professional		$24.00	$54.09	$99.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $203.25 / $205.53	Facility		$80.00	$203.25	$205.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $215.48 / $324.52	Professional		$215.48	$215.48	$324.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Professional		$88.70	$88.70	$88.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $43.27 / $58.73	Facility		$30.96	$43.27	$58.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $45.81	Professional		$22.09	$22.09	$45.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $81.67 / $81.67	Professional		$81.67	$81.67	$81.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.38 / $38.94	Professional		$28.52	$31.38	$38.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $34.64	Professional		$15.00	$15.00	$34.64