Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $221.85 / $16,125.00	Facility		$23.91	$221.85	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $16.30 / $29.43	Professional		$13.36	$16.30	$29.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $43.42 / $293.00	Facility		$19.72	$43.42	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.23 / $38.95	Professional		$8.89	$13.23	$38.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $86.60 / $215.92	Facility		$44.60	$86.60	$215.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.87 / $58.06	Professional		$10.41	$14.87	$58.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $23.63 / $60.26	Facility		$12.46	$23.63	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $21.89 / $31.92	Professional		$11.67	$21.89	$31.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.80 / $99.00	Professional		$18.00	$19.80	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $18.00 / $39.24	Professional		$14.40	$18.00	$39.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $86.10 / $86.10	Facility		$55.00	$86.10	$86.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $20.83 / $48.53	Facility		$14.93	$20.83	$48.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.00 / $36.00	Professional		$12.06	$18.00	$36.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $63.18 / $63.18	Professional		$63.18	$63.18	$63.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $10.80 / $13.30	Facility		$8.10	$10.80	$13.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.80 / $36.21	Professional		$7.56	$10.80	$36.21