Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $3.91 / $4.29	Facility		$3.91	$3.91	$4.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.21 / $12.51	Professional		$3.91	$6.21	$12.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.94 / $8.36	Facility		$4.15	$4.94	$8.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $13.56	Professional		$5.68	$5.68	$13.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $21.52 / $30.86	Facility		$15.33	$21.52	$30.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $36.88 / $54.82	Professional		$16.96	$36.88	$54.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $5.95	Professional		$5.70	$5.95	$5.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $16.04 / $19.68	Professional		$14.58	$16.04	$19.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $18.23 / $33.53	Professional		$9.00	$18.23	$33.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $80.00 / $85.00	Facility		$29.60	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $72.61 / $109.35	Professional		$72.61	$72.61	$109.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $13.43	Professional		$13.43	$13.43	$13.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $14.58 / $19.97	Facility		$10.45	$14.58	$19.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $13.14	Professional		$5.70	$5.95	$13.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Professional		$27.53	$27.53	$27.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $12.21 / $15.88	Professional		$11.66	$12.21	$15.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.58 / $21.23	Professional		$5.83	$6.58	$21.23