Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $89.42	Facility		$15.16	$15.16	$89.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.16 / $89.42	Professional		$12.67	$15.16	$89.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $44.75 / $98.40	Facility		$11.52	$44.75	$98.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $17.73 / $25.20	Professional		$13.22	$17.73	$25.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $44.89 / $66.73	Facility		$31.85	$44.89	$66.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $64.91 / $100.00	Professional		$16.75	$64.91	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $16.89 / $16.89	Facility		$14.50	$16.89	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $18.01	Professional		$12.34	$12.34	$18.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $14.39 / $34.10	Professional		$11.99	$14.39	$34.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $21.70 / $48.05	Professional		$18.60	$21.70	$48.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $147.25 / $147.25	Facility		$85.00	$147.25	$147.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $166.57 / $197.85	Professional		$166.57	$166.57	$197.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $59.32 / $59.32	Professional		$59.32	$59.32	$59.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $27.42 / $31.00	Facility		$8.13	$27.42	$31.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.89 / $30.40	Professional		$12.34	$16.89	$30.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Professional		$58.49	$58.49	$58.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $20.38 / $24.80	Professional		$11.99	$20.38	$24.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $14.98 / $29.44	Professional		$11.85	$14.98	$29.44