Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $38.86 / $88.93	Facility		$9.09	$38.86	$88.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $10.06 / $85.90	Professional		$6.40	$10.06	$85.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $32.22 / $293.00	Facility		$14.64	$32.22	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.12 / $22.12	Professional		$5.34	$7.12	$22.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $66.29 / $111.88	Facility		$23.82	$66.29	$111.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.63 / $64.13	Professional		$5.34	$7.63	$64.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $17.53 / $44.70	Facility		$8.68	$17.53	$44.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $15.28 / $20.14	Professional		$6.39	$15.28	$20.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.36 / $21.38	Professional		$9.38	$13.36	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $13.36 / $29.12	Professional		$10.69	$13.36	$29.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $100.00	Facility		$55.00	$70.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $13.36 / $31.00	Facility		$8.68	$13.36	$31.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.84 / $18.77	Professional		$6.46	$11.84	$18.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $46.89 / $46.89	Professional		$46.89	$46.89	$46.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $13.36 / $18.70	Professional		$10.69	$13.36	$18.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.61 / $22.53	Professional		$5.05	$5.61	$22.53