Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $49.81 / $113.95	Facility		$11.65	$49.81	$113.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.19 / $81.40	Professional		$8.42	$13.19	$81.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $30.54 / $293.00	Facility		$13.87	$30.54	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $8.69 / $25.95	Professional		$5.46	$8.69	$25.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $75.20 / $143.31	Facility		$29.43	$75.20	$143.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.77 / $60.77	Professional		$6.85	$9.77	$60.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $16.62 / $42.38	Facility		$8.23	$16.62	$42.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $14.46 / $22.29	Professional		$7.43	$14.46	$22.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.66 / $20.26	Professional		$10.13	$12.66	$20.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.66 / $27.60	Professional		$10.13	$12.66	$27.60
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 $6.33 / $6.33 / $6.33	Professional		$6.33	$6.33	$6.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $13.87 / $31.65	Facility		$9.19	$13.87	$31.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.66 / $24.14	Professional		$8.13	$12.66	$24.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $44.43 / $44.43	Professional		$44.43	$44.43	$44.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.66 / $17.72	Professional		$10.13	$12.66	$17.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.57 / $22.22	Professional		$5.32	$6.57	$22.22