Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $109.65	Facility		$20.89	$53.70	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $75.86	Professional		$8.91	$10.96	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $31.62 / $67.61	Facility		$6.92	$31.62	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.77 / $26.92	Professional		$5.89	$9.77	$26.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $58.88 / $125.89	Facility		$25.70	$58.88	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $31.62	Professional		$7.41	$10.47	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.39 / $48.98	Facility		$8.91	$22.39	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $20.42	Professional		$7.08	$12.02	$20.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $21.38	Professional		$10.00	$13.49	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $29.51	Professional		$10.72	$13.49	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.49 / $13.49	Professional		$6.76	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.49 / $40.74	Facility		$6.76	$15.49	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $27.54	Professional		$7.08	$11.22	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $16.98	Professional		$10.00	$12.02	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.13 / $13.49	Facility		$6.03	$8.13	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.13 / $24.55	Professional		$5.62	$8.13	$24.55