Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $6.16 / $60.55	Facility		$5.62	$6.16	$60.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $9.46 / $60.55	Professional		$6.16	$9.46	$60.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $9.10 / $24.07	Facility		$7.56	$9.10	$24.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $10.51 / $19.51	Professional		$10.51	$10.51	$19.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $28.71 / $44.36	Facility		$22.10	$28.71	$44.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $45.03 / $78.89	Professional		$11.34	$45.03	$78.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.91 / $15.02	Facility		$12.02	$13.91	$15.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $11.82 / $13.91	Professional		$8.56	$11.82	$13.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $20.98 / $25.18	Professional		$16.78	$20.98	$25.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.69 / $32.52	Professional		$12.59	$14.69	$32.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $99.66 / $99.66	Facility		$85.00	$99.66	$99.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $104.48 / $157.35	Professional		$104.48	$104.48	$157.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $18.55 / $20.98	Facility		$5.75	$18.55	$20.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $11.82 / $17.82	Professional		$8.56	$11.82	$17.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Professional		$39.61	$39.61	$39.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Professional		$16.78	$16.78	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $8.90 / $21.17	Professional		$7.99	$8.90	$21.17