Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $45.13 / $107.21	Facility		$10.55	$45.13	$107.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $11.68 / $85.78	Professional		$7.42	$11.68	$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 $5.34 / $8.11 / $25.62	Professional		$5.34	$8.11	$25.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $70.92 / $129.83	Facility		$27.75	$70.92	$129.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $8.85 / $64.03	Professional		$6.20	$8.85	$64.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $17.27 / $43.65	Facility		$8.67	$17.27	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $15.28 / $20.69	Professional		$7.36	$15.28	$20.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $13.34 / $21.34	Professional		$10.67	$13.34	$21.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $13.34 / $29.35	Professional		$10.67	$13.34	$29.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.30 / $66.30	Facility		$52.48	$66.30	$66.30
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 / $14.15 / $34.21	Facility		$6.67	$14.15	$34.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $12.91 / $21.45	Professional		$7.38	$12.91	$21.45
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 $10.67 / $13.34 / $18.68	Professional		$10.67	$13.34	$18.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.01 / $22.50	Professional		$5.60	$6.01	$22.50