Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $34.22 / $94.37	Facility		$11.99	$34.22	$94.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $18.10 / $37.42	Professional		$11.23	$18.10	$37.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.79 / $4,604.00	Facility		$14.90	$18.79	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $24.09 / $55.25	Professional		$15.34	$24.09	$55.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.62 / $48.50	Professional		$13.57	$19.62	$48.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $8.21 / $19.35	Facility		$6.95	$8.21	$19.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.35 / $43.65	Professional		$12.91	$19.35	$43.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.47 / $19.76	Professional		$12.80	$16.47	$19.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $16.18 / $29.05	Professional		$11.88	$16.18	$29.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $57.57 / $63.82	Facility		$55.00	$57.57	$63.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Professional		$297.00	$297.00	$297.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $17.82 / $33.90	Facility		$12.78	$17.82	$33.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $21.13 / $41.41	Professional		$13.32	$21.13	$41.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $50.16	Professional		$40.54	$40.54	$50.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.19 / $18.28	Professional		$11.82	$14.19	$18.28
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,506.00 / $7,317.00	Facility		$534.00	$1,506.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $19.80 / $49.41	Professional		$12.90	$19.80	$49.41