Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $46.91 / $95.91	Facility		$10.18	$46.91	$95.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.85 / $50.39	Professional		$6.49	$10.85	$50.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $28.90 / $293.00	Facility		$13.13	$28.90	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.46 / $22.15	Professional		$5.92	$7.46	$22.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.00 / $120.71	Facility		$25.70	$69.00	$120.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $57.50	Professional		$5.75	$8.22	$57.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $15.74 / $40.11	Facility		$8.30	$15.74	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $14.46 / $21.08	Professional		$7.85	$14.46	$21.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.98 / $19.17	Professional		$10.10	$11.98	$19.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.98 / $26.12	Professional		$9.58	$11.98	$26.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $70.00 / $70.00	Facility		$36.72	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Professional		$5.99	$5.99	$5.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $13.87 / $34.38	Facility		$9.94	$13.87	$34.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.98 / $23.96	Professional		$7.88	$11.98	$23.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Professional		$42.04	$42.04	$42.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.78 / $14.14	Professional		$9.58	$10.78	$14.14
United Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $7.19 / $8.86	Facility		$5.39	$7.19	$8.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.14 / $21.75	Professional		$5.03	$7.14	$21.75