Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $46.93 / $144.90	Facility		$14.40	$46.93	$144.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.40 / $24.02	Professional		$11.10	$14.40	$24.02
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 $2.41 / $5.00 / $75.00	Professional		$2.41	$5.00	$75.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.51 / $27.67	Professional		$12.61	$17.51	$27.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $48.96 / $113.01	Professional		$12.82	$48.96	$113.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.65 / $11.48	Professional		$6.12	$7.65	$11.48
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 $52.32 / $85.00 / $100.00	Facility		$52.32	$85.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $111.19 / $159.22	Professional		$111.19	$111.19	$159.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $17.80 / $70.00	Professional		$8.41	$17.80	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $23.22 / $29.81	Facility		$13.97	$23.22	$29.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $62.87 / $114.34	Professional		$13.10	$62.87	$114.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $11.41 / $19.48	Professional		$6.12	$11.41	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $80.95 / $91.94	Professional		$7.73	$80.95	$91.94