Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $30.85 / $86.63	Facility		$8.86	$30.85	$86.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $8.86 / $13.63	Professional		$6.23	$8.86	$13.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $21.93 / $293.00	Facility		$9.96	$21.93	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.61 / $21.53	Professional		$4.13	$6.61	$21.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $64.58 / $110.29	Facility		$22.37	$64.58	$110.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.43 / $43.63	Professional		$5.20	$7.43	$43.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $11.94 / $30.44	Facility		$5.91	$11.94	$30.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $10.33 / $16.26	Professional		$5.52	$10.33	$16.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $9.09 / $14.54	Professional		$7.46	$9.09	$14.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $9.09 / $20.60	Professional		$7.27	$9.09	$20.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $82.53 / $100.00	Facility		$65.70	$82.53	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $10.52 / $25.89	Facility		$6.96	$10.52	$25.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.09 / $18.18	Professional		$6.03	$9.09	$18.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $31.90 / $31.90	Professional		$31.90	$31.90	$31.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $9.09 / $12.73	Professional		$7.27	$9.09	$12.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.05 / $16.82	Professional		$3.82	$5.05	$16.82