Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $109.65	Facility		$18.20	$52.48	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $75.86	Professional		$8.51	$10.96	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $29.51 / $63.10	Facility		$6.92	$29.51	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.33 / $26.30	Professional		$5.89	$9.33	$26.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $125.89	Facility		$25.12	$60.26	$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 $8.51 / $21.38 / $45.71	Facility		$8.51	$21.38	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $19.95	Professional		$7.08	$12.02	$19.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $20.42	Professional		$10.00	$12.59	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $28.18	Professional		$10.23	$12.59	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $72.44	Facility		$64.57	$64.57	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.59 / $12.59	Professional		$6.31	$12.59	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.79 / $33.11	Facility		$9.55	$14.79	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $27.54	Professional		$7.08	$11.75	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $21.38	Professional		$10.23	$12.88	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.59 / $12.59	Facility		$5.75	$7.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $23.99	Professional		$5.37	$7.59	$23.99