Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $31.05 / $100.85	Facility		$11.45	$31.05	$100.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.45 / $12.98	Professional		$8.32	$11.45	$12.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $34.61 / $312.00	Facility		$17.86	$34.61	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $14.31 / $25.24	Professional		$6.50	$14.31	$25.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $74.52 / $142.01	Facility		$29.93	$74.52	$142.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $8.93 / $65.95	Professional		$6.25	$8.93	$65.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $18.04 / $44.29	Facility		$9.60	$18.04	$44.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $16.93 / $21.16	Professional		$9.85	$16.93	$21.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.74 / $21.98	Professional		$10.99	$13.74	$21.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.74 / $24.05	Professional		$10.99	$13.74	$24.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $75.00 / $75.00	Facility		$50.00	$75.00	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $13.74 / $30.66	Facility		$7.28	$13.74	$30.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $13.74 / $15.27	Professional		$9.85	$13.74	$15.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.31 / $15.39	Professional		$10.99	$12.31	$15.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.41 / $21.02	Professional		$5.77	$6.41	$21.02