Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $7.87 / $77.31	Facility		$7.19	$7.87	$77.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $12.50 / $77.31	Professional		$7.19	$12.50	$77.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $10.36 / $17.53	Facility		$8.69	$10.36	$17.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $24.91	Professional		$11.90	$11.90	$24.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $39.53 / $56.68	Facility		$28.15	$39.53	$56.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $67.73 / $100.00	Professional		$31.16	$67.73	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $29.47 / $36.17	Professional		$26.79	$29.47	$36.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $33.49 / $61.62	Professional		$18.00	$33.49	$61.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $125.85 / $127.25	Facility		$54.38	$125.85	$127.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $133.41 / $200.93	Professional		$133.41	$133.41	$200.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $54.91 / $54.91	Professional		$54.91	$54.91	$54.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $26.79 / $36.36	Facility		$19.19	$26.79	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $24.21	Professional		$10.93	$12.04	$24.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $50.57 / $50.57	Professional		$50.57	$50.57	$50.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $20.77 / $24.54	Professional		$18.88	$20.77	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $12.09 / $37.58	Professional		$10.59	$12.09	$37.58