Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.03 / $95.50	Facility		$5.01	$6.03	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $85.11	Professional		$6.03	$12.88	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.55 / $23.99	Facility		$7.59	$9.55	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $24.55	Professional		$10.00	$10.00	$24.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $32.36 / $46.77	Facility		$23.44	$32.36	$46.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $79.43	Professional		$24.55	$41.69	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $15.85	Facility		$12.02	$13.18	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.18	Professional		$11.22	$11.22	$13.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $30.20	Professional		$18.20	$22.39	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $39.81	Professional		$12.88	$20.42	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $165.96	Professional		$109.65	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $19.95 / $27.54	Facility		$6.46	$19.95	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $18.20	Professional		$11.22	$11.22	$18.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.06 / $20.42	Professional		$0.04	$0.06	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $8.51 / $10.00	Facility		$1.55	$8.51	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.00 / $22.39	Professional		$8.51	$10.00	$22.39