Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $67.23 / $159.90	Facility		$15.72	$67.23	$159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.49 / $57.67	Professional		$9.91	$13.49	$57.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $35.94 / $293.00	Facility		$16.32	$35.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.73 / $34.67	Professional		$7.36	$11.73	$34.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $85.00 / $191.54	Facility		$38.59	$85.00	$191.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $13.19 / $71.52	Professional		$9.23	$13.19	$71.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $19.57 / $49.90	Facility		$10.31	$19.57	$49.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $18.17 / $26.50	Professional		$9.76	$18.17	$26.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $14.90 / $23.84	Professional		$13.25	$14.90	$23.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $14.90 / $32.47	Professional		$11.92	$14.90	$32.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $76.00 / $91.80	Facility		$72.00	$76.00	$91.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $17.82 / $42.57	Facility		$12.31	$17.82	$42.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $14.90 / $29.80	Professional		$9.97	$14.90	$29.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Professional		$52.29	$52.29	$52.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $14.90 / $20.86	Professional		$11.92	$14.90	$20.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $8.86 / $28.80	Professional		$6.26	$8.86	$28.80