Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $54.32 / $117.22	Facility		$11.99	$54.32	$117.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $11.99 / $61.61	Professional		$6.02	$11.99	$61.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $29.98 / $293.00	Facility		$13.62	$29.98	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $8.94 / $29.14	Professional		$5.61	$8.94	$29.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $76.02 / $147.59	Facility		$30.31	$76.02	$147.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.06 / $59.66	Professional		$7.04	$10.06	$59.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $16.32 / $41.63	Facility		$8.08	$16.32	$41.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $14.04 / $22.29	Professional		$7.43	$14.04	$22.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $12.43 / $19.89	Professional		$10.10	$12.43	$19.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.43 / $27.10	Professional		$9.94	$12.43	$27.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $70.00 / $70.00	Facility		$42.93	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $6.21	Professional		$6.21	$6.21	$6.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $14.29 / $35.65	Facility		$9.42	$14.29	$35.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $12.43 / $24.67	Professional		$8.35	$12.43	$24.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.43 / $17.39	Professional		$9.94	$12.43	$17.39
United Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $12.43 / $12.43	Facility		$5.22	$12.43	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.67 / $21.95	Professional		$5.22	$6.67	$21.95