Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $70.98 / $230.60	Facility		$26.18	$70.98	$230.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $29.67 / $42.40	Professional		$19.02	$29.67	$42.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $68.19 / $301.08	Facility		$30.98	$68.19	$301.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $57.95 / $90.59	Professional		$13.96	$57.95	$90.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $63.89 / $79.72	Facility		$20.44	$63.89	$79.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $22.69 / $68.34	Professional		$15.88	$22.69	$68.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $37.13 / $91.16	Facility		$19.75	$37.13	$91.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $38.90	Professional		$14.86	$29.25	$38.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $99.00	Professional		$28.27	$28.27	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $28.27 / $49.47	Professional		$22.62	$28.27	$49.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.28 / $134.28	Facility		$75.00	$134.28	$134.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $28.27 / $67.20	Facility		$14.98	$28.27	$67.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $26.01 / $33.60	Professional		$14.86	$26.01	$33.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $87.35 / $87.35	Professional		$87.35	$87.35	$87.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $28.27 / $39.58	Professional		$22.62	$28.27	$39.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.66 / $55.49	Professional		$11.87	$14.66	$55.49