Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $24.61 / $56.31	Facility		$5.75	$24.61	$56.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $6.25 / $43.15	Professional		$4.04	$6.25	$43.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $16.18 / $293.00	Facility		$7.35	$16.18	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.09 / $10.89	Professional		$2.69	$4.09	$10.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $48.70 / $92.60	Facility		$14.65	$48.70	$92.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.63 / $32.21	Professional		$3.24	$4.63	$32.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $8.81 / $21.95	Facility		$4.36	$8.81	$21.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $7.85 / $10.33	Professional		$4.03	$7.85	$10.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.71 / $10.74	Professional		$5.37	$6.71	$10.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.71 / $14.63	Professional		$5.37	$6.71	$14.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $80.00 / $80.00	Facility		$60.00	$80.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $6.71 / $16.66	Facility		$4.36	$6.71	$16.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $6.25 / $9.44	Professional		$4.03	$6.25	$9.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $23.55 / $23.55	Professional		$23.55	$23.55	$23.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.01 / $7.52	Professional		$5.37	$6.01	$7.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.22 / $10.95	Professional		$2.82	$3.22	$10.95