Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $32.54 / $105.71	Facility		$12.00	$32.54	$105.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $12.00 / $13.60	Professional		$8.72	$12.00	$13.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $40.32 / $312.00	Facility		$20.80	$40.32	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.33 / $11.12	Professional		$5.92	$6.33	$11.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $72.50 / $150.56	Facility		$31.20	$72.50	$150.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.40 / $51.45	Professional		$7.28	$10.40	$51.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $21.01 / $51.58	Facility		$10.88	$21.01	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $19.41 / $24.26	Professional		$18.17	$19.41	$24.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $25.60	Professional		$12.80	$16.00	$25.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $28.00	Professional		$12.80	$16.00	$28.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $76.00 / $76.00	Facility		$50.00	$76.00	$76.00
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 $10.52 / $16.00 / $35.68	Facility		$10.52	$16.00	$35.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.20 / $16.00	Professional		$12.32	$15.20	$16.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.34 / $17.92	Professional		$12.80	$14.34	$17.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $25.44	Professional		$6.72	$6.72	$25.44