Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $28.68 / $90.47	Facility		$6.33	$28.68	$90.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.17 / $90.47	Professional		$5.37	$7.17	$90.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $33.94 / $293.00	Facility		$15.42	$33.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.63 / $16.25	Professional		$4.72	$5.63	$16.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $52.90 / $95.50	Facility		$16.64	$52.90	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $5.30 / $67.54	Professional		$3.71	$5.30	$67.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $18.21 / $45.38	Facility		$6.80	$18.21	$45.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $15.06 / $21.69	Professional		$4.43	$15.06	$21.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $14.07 / $22.51	Professional		$5.32	$14.07	$22.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $14.07 / $27.44	Professional		$11.26	$14.07	$27.44
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 $7.03 / $7.03 / $7.03	Professional		$7.03	$7.03	$7.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $12.66 / $29.00	Facility		$7.04	$12.66	$29.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $9.27 / $16.88	Professional		$4.43	$9.27	$16.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $49.38 / $49.38	Professional		$49.38	$49.38	$49.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.26 / $12.97	Professional		$7.78	$11.26	$12.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.91 / $19.55	Professional		$3.52	$5.91	$19.55