Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $36.79 / $119.48	Facility		$13.57	$36.79	$119.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $13.57 / $15.38	Professional		$9.59	$13.57	$15.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $45.59 / $312.00	Facility		$23.52	$45.59	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.50 / $12.48	Professional		$2.02	$2.50	$12.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $80.90 / $168.24	Facility		$35.46	$80.90	$168.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.76 / $58.17	Professional		$8.23	$11.76	$58.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.76 / $58.33	Facility		$12.30	$23.76	$58.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $21.89 / $27.36	Professional		$20.65	$21.89	$27.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.09 / $28.94	Professional		$14.47	$18.09	$28.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.09 / $31.66	Professional		$14.47	$18.09	$31.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.93 / $85.93	Facility		$50.00	$85.93	$85.93
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 $11.89 / $18.09 / $40.36	Facility		$11.89	$18.09	$40.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $17.19 / $18.09	Professional		$13.93	$17.19	$18.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Professional		$18.09	$18.09	$18.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $16.21 / $20.26	Professional		$14.47	$16.21	$20.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $25.87	Professional		$7.60	$7.60	$25.87