Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $38.83 / $88.84	Facility		$9.08	$38.83	$88.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $10.05 / $55.30	Professional		$4.84	$10.05	$55.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $20.74 / $293.00	Facility		$9.42	$20.74	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.78 / $22.06	Professional		$4.25	$6.78	$22.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $66.11 / $113.11	Facility		$22.27	$66.11	$113.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $7.62 / $41.28	Professional		$5.33	$7.62	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $11.13 / $28.79	Facility		$5.97	$11.13	$28.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $10.33 / $15.06	Professional		$5.52	$10.33	$15.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.60 / $13.76	Professional		$7.65	$8.60	$13.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.60 / $18.92	Professional		$6.88	$8.60	$18.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $100.00	Facility		$55.00	$70.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $10.32 / $28.40	Facility		$6.45	$10.32	$28.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.60 / $17.20	Professional		$5.80	$8.60	$17.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.60 / $12.04	Professional		$6.88	$8.60	$12.04
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.12 / $16.52	Professional		$3.61	$5.12	$16.52