Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $16.96 / $38.81	Facility		$3.97	$16.96	$38.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.50 / $12.98	Professional		$3.00	$4.50	$12.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $14.45 / $293.00	Facility		$6.56	$14.45	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.59 / $9.49	Professional		$2.40	$3.59	$9.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $33.34 / $65.56	Facility		$10.03	$33.34	$65.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.33 / $28.75	Professional		$2.33	$3.33	$28.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.86 / $20.03	Facility		$3.89	$7.86	$20.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $7.02 / $9.28	Professional		$2.71	$7.02	$9.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.99 / $9.58	Professional		$4.01	$5.99	$9.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.99 / $11.68	Professional		$4.79	$5.99	$11.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $70.00	Facility		$55.00	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.99 / $14.68	Facility		$3.00	$5.99	$14.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $4.46 / $8.30	Professional		$2.77	$4.46	$8.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.02 / $21.02	Professional		$21.02	$21.02	$21.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.99 / $8.39	Professional		$4.79	$5.99	$8.39
United Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $5.99 / $5.99	Facility		$2.52	$5.99	$5.99
United Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.59 / $10.10	Professional		$3.08	$3.59	$10.10