Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $36.31	Facility		$2.00	$2.00	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.01 / $32.36	Professional		$2.00	$5.01	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.80 / $9.55	Facility		$3.02	$3.80	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.27 / $9.33	Professional		$4.07	$4.27	$9.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.02 / $17.78	Facility		$8.71	$12.02	$17.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.85 / $30.20	Professional		$9.33	$15.85	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.01 / $6.03	Facility		$3.80	$5.01	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.01	Professional		$4.27	$4.27	$5.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.91 / $11.48	Professional		$6.92	$8.91	$11.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.76 / $15.14	Professional		$5.01	$7.76	$15.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $85.11	Facility		$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $63.10	Professional		$41.69	$63.10	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $8.13 / $11.22	Facility		$2.40	$8.13	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $8.13	Professional		$4.27	$4.27	$8.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.72 / $16.60	Professional		$6.92	$10.72	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $3.24 / $3.80	Facility		$0.59	$3.24	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.80 / $8.51	Professional		$3.24	$3.80	$8.51