Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $43.58 / $94.99	Facility		$9.35	$43.58	$94.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $9.77 / $70.73	Professional		$6.28	$9.77	$70.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $26.53 / $293.00	Facility		$12.05	$26.53	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $6.64 / $21.75	Professional		$4.40	$6.64	$21.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $65.18 / $111.32	Facility		$23.38	$65.18	$111.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $7.24 / $52.80	Professional		$5.07	$7.24	$52.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $14.44 / $36.82	Facility		$7.15	$14.44	$36.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $12.80 / $17.34	Professional		$6.19	$12.80	$17.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $11.00 / $17.60	Professional		$6.67	$11.00	$17.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $11.00 / $23.98	Professional		$8.80	$11.00	$23.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $11.39 / $28.03	Facility		$5.50	$11.39	$28.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $10.93 / $18.23	Professional		$6.28	$10.93	$18.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $11.00 / $15.40	Professional		$8.80	$11.00	$15.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.09 / $16.98	Professional		$4.62	$5.09	$16.98