Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $57.81 / $132.25	Facility		$13.52	$57.81	$132.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $11.80 / $69.45	Professional		$6.91	$11.80	$69.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $30.87 / $293.00	Facility		$14.02	$30.87	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $10.09 / $29.79	Professional		$6.32	$10.09	$29.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $80.00 / $166.38	Facility		$33.15	$80.00	$166.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.34 / $61.44	Professional		$7.94	$11.34	$61.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.80 / $42.85	Facility		$8.86	$16.80	$42.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.63 / $22.89	Professional		$8.27	$15.63	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $12.80 / $20.48	Professional		$11.38	$12.80	$20.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.80 / $27.90	Professional		$10.24	$12.80	$27.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.74 / $100.00	Facility		$50.00	$62.74	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Professional		$7.68	$7.68	$7.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $15.36 / $41.27	Facility		$10.63	$15.36	$41.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.80 / $25.60	Professional		$8.58	$12.80	$25.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $44.92	Professional		$44.92	$44.92	$44.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.80 / $17.92	Professional		$10.24	$12.80	$17.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.68 / $25.47	Professional		$5.38	$7.68	$25.47