Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $101.02 / $163.26	Facility		$19.38	$101.02	$163.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $33.51 / $53.85	Professional		$15.58	$33.51	$53.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $74.03 / $193.22	Facility		$18.54	$74.03	$193.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $22.27 / $48.20	Professional		$10.48	$22.27	$48.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $100.00 / $130.71	Facility		$33.51	$100.00	$130.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.64 / $38.08	Professional		$8.85	$12.64	$38.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $60.86 / $149.44	Facility		$15.18	$60.86	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $48.38 / $64.23	Professional		$24.37	$48.38	$64.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $99.00	Professional		$46.35	$46.35	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $46.35 / $81.11	Professional		$37.08	$46.35	$81.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $220.16 / $220.16	Facility		$81.20	$220.16	$220.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $45.20 / $110.46	Facility		$23.18	$45.20	$110.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.11 / $46.35	Professional		$15.94	$27.11	$46.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $143.22	Professional		$143.22	$143.22	$143.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $46.35 / $64.89	Professional		$37.08	$46.35	$64.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.86 / $31.84	Facility		$9.77	$20.86	$31.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $78.17	Professional		$8.16	$19.47	$78.17