Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $26.13 / $68.40	Facility		$5.46	$26.13	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $6.19 / $85.78	Professional		$3.84	$6.19	$85.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $32.18 / $293.00	Facility		$14.62	$32.18	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.34 / $14.02	Professional		$4.08	$5.34	$14.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $45.69 / $91.03	Facility		$14.32	$45.69	$91.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.58 / $64.03	Professional		$3.21	$4.58	$64.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $17.51 / $44.65	Facility		$5.90	$17.51	$44.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $14.29 / $20.14	Professional		$3.85	$14.29	$20.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $13.34 / $21.34	Professional		$5.63	$13.34	$21.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $13.34 / $28.00	Professional		$10.67	$13.34	$28.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $100.00	Facility		$55.00	$70.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $6.67 / $6.67	Professional		$6.67	$6.67	$6.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $12.40 / $29.75	Facility		$6.67	$12.40	$29.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $8.00 / $16.01	Professional		$3.85	$8.00	$16.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $10.67 / $13.34	Professional		$8.90	$10.67	$13.34
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.60 / $16.01	Professional		$3.04	$5.60	$16.01