Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $53.56 / $122.52	Facility		$12.53	$53.56	$122.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $13.86 / $76.31	Professional		$4.57	$13.86	$76.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $28.63 / $293.00	Facility		$13.01	$28.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.35 / $30.44	Professional		$5.86	$9.35	$30.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $77.09 / $154.19	Facility		$30.74	$77.09	$154.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $10.51 / $56.98	Professional		$7.36	$10.51	$56.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $15.59 / $41.35	Facility		$8.21	$15.59	$41.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $14.35 / $21.08	Professional		$7.85	$14.35	$21.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.87 / $18.98	Professional		$10.55	$11.87	$18.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.87 / $26.00	Professional		$9.50	$11.87	$26.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $81.00	Facility		$55.00	$70.00	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $14.15 / $34.07	Facility		$8.90	$14.15	$34.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.87 / $23.74	Professional		$7.88	$11.87	$23.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $41.66 / $41.66	Professional		$41.66	$41.66	$41.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.87 / $16.62	Professional		$9.50	$11.87	$16.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $7.06 / $22.95	Professional		$4.99	$7.06	$22.95