Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $128.82 / $208.93	Facility		$43.65	$128.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $30.90	Professional		$19.95	$25.12	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $158.49	Facility		$40.74	$77.62	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $27.54	Professional		$6.61	$8.13	$27.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $89.13 / $302.00	Facility		$48.98	$89.13	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $81.28	Professional		$18.20	$24.55	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $51.29 / $104.71	Facility		$20.89	$51.29	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $47.86	Professional		$22.39	$38.02	$47.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $50.12	Professional		$25.12	$31.62	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $54.95	Professional		$25.12	$31.62	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $79.43	Facility		$20.89	$36.31	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $31.62	Professional		$22.39	$31.62	$31.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $42.66	Professional		$25.12	$28.18	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.38 / $31.62	Facility		$13.18	$17.38	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $56.23	Professional		$13.18	$14.13	$56.23