Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $58.60 / $126.50	Facility		$12.93	$58.60	$126.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $11.10 / $66.48	Professional		$6.49	$11.10	$66.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $29.55 / $293.00	Facility		$13.42	$29.55	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.65 / $31.44	Professional		$6.05	$9.65	$31.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $77.55 / $159.22	Facility		$31.73	$77.55	$159.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.84 / $58.80	Professional		$7.59	$10.84	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $16.07 / $42.63	Facility		$8.49	$16.07	$42.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.87 / $21.68	Professional		$8.06	$14.87	$21.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $12.25 / $19.60	Professional		$10.89	$12.25	$19.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.25 / $26.71	Professional		$9.80	$12.25	$26.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $75.65 / $81.00	Facility		$70.00	$75.65	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Professional		$6.12	$6.12	$6.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $14.70 / $35.13	Facility		$9.19	$14.70	$35.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.25 / $24.50	Professional		$8.11	$12.25	$24.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $42.99 / $42.99	Professional		$42.99	$42.99	$42.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $12.25 / $17.14	Professional		$9.80	$12.25	$17.14
United Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $12.25 / $12.25	Facility		$5.15	$12.25	$12.25
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.35 / $24.34	Professional		$5.15	$7.35	$24.34