Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.82 / $112.40	Facility		$8.05	$8.82	$112.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.13 / $64.00	Professional		$8.82	$12.13	$64.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $10.80 / $28.55	Facility		$8.97	$10.80	$28.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.46 / $26.64	Professional		$12.29	$12.46	$26.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $58.40 / $100.00	Professional		$15.07	$58.40	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $21.76	Facility		$16.20	$16.20	$21.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $33.38	Professional		$12.25	$12.25	$33.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $27.87 / $33.44	Professional		$22.30	$27.87	$33.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $19.51 / $43.20	Professional		$16.72	$19.51	$43.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $122.76 / $132.38	Facility		$80.00	$122.76	$132.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $150.47 / $209.03	Professional		$150.47	$150.47	$209.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $25.06 / $28.75	Facility		$8.23	$25.06	$28.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $28.06	Professional		$12.25	$12.25	$28.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Professional		$52.61	$52.61	$52.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $12.96 / $28.13	Professional		$11.78	$12.96	$28.13