Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $40.56 / $201.00	Facility		$14.40	$40.56	$201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.98 / $14.40	Professional		$8.07	$11.98	$14.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $30.82 / $100.00	Professional		$3.52	$30.82	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $12.83 / $19.98	Professional		$9.17	$12.83	$19.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.50 / $104.88	Professional		$9.01	$17.50	$104.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.27 / $21.41	Professional		$11.42	$14.27	$21.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $638.07 / $801.00	Professional		$100.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $85.00 / $100.00	Facility		$64.65	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $117.98	Professional		$85.71	$85.71	$117.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $19.91 / $70.00	Professional		$14.74	$19.91	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $17.00 / $22.52	Facility		$9.36	$17.00	$22.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $21.91 / $105.64	Professional		$9.46	$21.91	$105.64
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 $11.41 / $21.28 / $36.34	Professional		$11.41	$21.28	$36.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $59.84 / $68.12	Professional		$11.50	$59.84	$68.12