Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $53.48 / $122.35	Facility		$12.50	$53.48	$122.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $12.50 / $64.25	Professional		$8.22	$12.50	$64.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $31.14 / $293.00	Facility		$14.15	$31.14	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $9.33 / $27.57	Professional		$5.85	$9.33	$27.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $77.09 / $153.91	Facility		$31.60	$77.09	$153.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $10.49 / $61.97	Professional		$7.34	$10.49	$61.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $16.95 / $43.21	Facility		$8.39	$16.95	$43.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $14.87 / $22.89	Professional		$7.64	$14.87	$22.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $12.91 / $20.66	Professional		$10.53	$12.91	$20.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $12.91 / $28.14	Professional		$10.33	$12.91	$28.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $81.54 / $100.00	Facility		$64.91	$81.54	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $6.45 / $6.45	Professional		$6.45	$6.45	$6.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $14.90 / $37.13	Facility		$9.83	$14.90	$37.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.91 / $25.74	Professional		$8.58	$12.91	$25.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $12.91 / $18.07	Professional		$10.33	$12.91	$18.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.13 / $22.91	Professional		$5.42	$7.13	$22.91