Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $22.20 / $50.70	Facility		$4.75	$22.20	$50.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.75 / $30.99	Professional		$3.21	$4.75	$30.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $11.63 / $293.00	Facility		$5.28	$11.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.55 / $11.18	Professional		$2.23	$3.55	$11.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $39.94 / $78.56	Facility		$11.36	$39.94	$78.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.99 / $23.14	Professional		$2.79	$3.99	$23.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $6.32 / $16.12	Facility		$3.13	$6.32	$16.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $5.78 / $8.43	Professional		$2.97	$5.78	$8.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.82 / $7.71	Professional		$4.01	$4.82	$7.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.82 / $10.92	Professional		$3.86	$4.82	$10.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Professional		$2.89	$2.89	$2.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $5.57 / $13.84	Facility		$3.74	$5.57	$13.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.82 / $9.64	Professional		$3.25	$4.82	$9.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Professional		$16.91	$16.91	$16.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.82 / $6.75	Professional		$3.86	$4.82	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.71 / $9.08	Professional		$2.02	$2.71	$9.08