Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $51.55 / $105.65	Facility		$10.85	$51.55	$105.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.05 / $50.39	Professional		$8.22	$11.05	$50.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $39.63 / $293.00	Facility		$18.00	$39.63	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $7.75 / $24.64	Professional		$6.57	$7.75	$24.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $69.00 / $120.71	Facility		$26.48	$69.00	$120.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $32.43	Professional		$5.75	$8.22	$32.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $21.57 / $53.77	Facility		$10.68	$21.57	$53.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $19.00 / $24.78	Professional		$8.86	$19.00	$24.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $16.43 / $26.29	Professional		$10.10	$16.43	$26.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $16.43 / $33.33	Professional		$13.14	$16.43	$33.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $78.04 / $78.04	Facility		$40.25	$78.04	$78.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Professional		$8.21	$8.21	$8.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $16.43 / $40.94	Facility		$10.68	$16.43	$40.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $15.50 / $26.28	Professional		$8.86	$15.50	$26.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.14 / $16.43	Professional		$10.30	$13.14	$16.43
United Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.22 / $29.84	Professional		$6.90	$7.22	$29.84