Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $36.99 / $146.00	Facility		$36.99	$36.99	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $22.17 / $36.99	Professional		$16.01	$22.17	$36.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $58.08 / $293.00	Facility		$26.38	$58.08	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.68 / $103.52	Professional		$11.89	$14.68	$103.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $54.42 / $67.91	Facility		$17.41	$54.42	$67.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $19.32 / $58.20	Professional		$13.52	$19.32	$58.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $33.90 / $80.59	Facility		$15.65	$33.90	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $25.13 / $33.29	Professional		$12.66	$25.13	$33.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $99.00	Professional		$24.08	$24.08	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $24.08 / $42.14	Professional		$19.26	$24.08	$42.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $114.38 / $114.38	Facility		$75.00	$114.38	$114.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $28.90 / $60.20	Facility		$17.54	$28.90	$60.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $24.08 / $33.03	Professional		$12.66	$24.08	$33.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $74.40 / $74.40	Professional		$74.40	$74.40	$74.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $24.08 / $33.71	Professional		$19.26	$24.08	$33.71
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.87 / $46.26	Professional		$10.11	$13.87	$46.26