Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $17.54 / $39.54	Facility		$4.07	$17.54	$39.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.34 / $23.00	Professional		$3.60	$4.34	$23.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.15 / $263.00	Facility		$0.12	$0.15	$263.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $6.41 / $34.59	Professional		$0.14	$6.41	$34.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $23.73 / $38.79	Facility		$8.51	$23.73	$38.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.97 / $9.94	Professional		$3.56	$4.97	$9.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $12.86 / $104.01	Professional		$4.37	$12.86	$104.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.84 / $14.76	Professional		$7.87	$9.84	$14.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $100.00 / $801.00	Professional		$13.26	$100.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $80.00 / $100.00	Facility		$13.17	$80.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $55.00 / $56.33	Professional		$8.44	$55.00	$56.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $17.57 / $95.00	Professional		$10.82	$17.57	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $14.14 / $105.33	Professional		$4.49	$14.14	$105.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $14.68 / $25.41	Professional		$7.47	$14.68	$25.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $6.50 / $16.23	Professional		$4.53	$6.50	$16.23