Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $54.95 / $190.55	Facility		$17.78	$54.95	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $50.12	Professional		$5.01	$7.94	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $18.20 / $38.90	Facility		$4.47	$18.20	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.46 / $21.88	Professional		$3.80	$6.46	$21.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $53.70 / $104.71	Facility		$17.38	$53.70	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $22.39	Professional		$6.17	$8.71	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.88 / $28.18	Facility		$5.13	$12.88	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.76 / $12.59	Professional		$4.68	$7.76	$12.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $12.30	Professional		$6.31	$7.76	$12.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Facility		$72.44	$72.44	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $9.33	Professional		$4.68	$9.33	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.33 / $22.91	Facility		$6.46	$9.33	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.24 / $17.78	Professional		$4.68	$7.24	$17.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $13.18	Professional		$6.17	$7.94	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.25 / $7.76	Facility		$3.47	$5.25	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.68 / $15.49	Professional		$3.24	$4.68	$15.49