Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.01 / $29.67	Facility		$2.75	$3.01	$29.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.80 / $29.67	Professional		$2.75	$4.80	$29.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.97 / $6.71	Facility		$3.33	$3.97	$6.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $9.56	Professional		$4.55	$4.55	$9.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $15.15 / $21.73	Facility		$10.79	$15.15	$21.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $25.99 / $38.65	Professional		$11.96	$25.99	$38.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.31 / $13.88	Professional		$10.28	$11.31	$13.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.85 / $23.64	Professional		$6.00	$12.85	$23.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $80.00 / $85.00	Facility		$20.87	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $51.19 / $77.09	Professional		$51.19	$51.19	$77.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $10.28 / $14.08	Facility		$7.35	$10.28	$14.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $10.99	Professional		$5.25	$5.25	$10.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Professional		$19.39	$19.39	$19.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $6.38 / $12.30	Professional		$2.69	$6.38	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.63 / $14.42	Professional		$4.09	$4.63	$14.42