Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $14.64 / $33.50	Facility		$3.43	$14.64	$33.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.79 / $28.74	Professional		$2.41	$3.79	$28.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.78 / $293.00	Facility		$4.90	$10.78	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.67 / $8.51	Professional		$1.79	$2.67	$8.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $28.69 / $58.75	Facility		$8.67	$28.69	$58.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.88 / $21.46	Professional		$2.02	$2.88	$21.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $5.88 / $14.99	Facility		$2.91	$5.88	$14.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $5.37 / $6.71	Professional		$2.31	$5.37	$6.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.47 / $7.15	Professional		$3.54	$4.47	$7.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.47 / $9.74	Professional		$3.58	$4.47	$9.74
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 $2.68 / $2.68 / $2.68	Professional		$2.68	$2.68	$2.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.92 / $11.64	Facility		$3.00	$4.92	$11.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.21 / $6.97	Professional		$2.40	$4.21	$6.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.47 / $6.26	Professional		$3.58	$4.47	$6.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.95 / $6.84	Professional		$1.88	$1.95	$6.84