Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $8.15 / $8.92	Facility		$8.15	$8.15	$8.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.67 / $22.87	Professional		$8.15	$10.67	$22.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $15.22 / $25.76	Facility		$12.79	$15.22	$25.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $12.80 / $23.43	Professional		$11.64	$12.80	$23.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.71 / $34.01	Professional		$25.19	$27.71	$34.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $36.60 / $64.75	Professional		$25.34	$36.60	$64.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $119.43 / $119.65	Facility		$42.32	$119.43	$119.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $127.35 / $188.93	Professional		$125.45	$127.35	$188.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Professional		$54.53	$54.53	$54.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $25.19 / $35.01	Facility		$18.35	$25.19	$35.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $27.42	Professional		$15.09	$15.09	$27.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Professional		$49.75	$49.75	$49.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $30.96 / $40.25	Professional		$20.14	$30.96	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.15 / $38.36	Professional		$11.64	$13.15	$38.36