Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $47.06 / $111.05	Facility		$11.00	$47.06	$111.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.47 / $111.05	Professional		$7.74	$12.47	$111.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $41.66 / $293.00	Facility		$18.92	$41.66	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.69 / $26.42	Professional		$6.91	$8.69	$26.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $71.70 / $135.41	Facility		$29.53	$71.70	$135.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.23 / $36.43	Professional		$6.46	$9.23	$36.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $22.68 / $55.70	Facility		$11.23	$22.68	$55.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $19.82 / $26.33	Professional		$7.74	$19.82	$26.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $17.27 / $27.63	Professional		$11.35	$17.27	$27.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $37.39	Professional		$13.82	$17.27	$37.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $85.65 / $87.97	Facility		$80.84	$85.65	$87.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.42 / $44.92	Facility		$11.23	$17.42	$44.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $14.33 / $22.53	Professional		$7.75	$14.33	$22.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $60.61 / $60.61	Professional		$60.61	$60.61	$60.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $24.18	Professional		$13.82	$17.27	$24.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.25 / $29.13	Professional		$6.04	$7.25	$29.13