Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.42 / $23.80	Facility		$2.21	$2.42	$23.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.59 / $23.80	Professional		$2.25	$3.59	$23.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $3.19 / $5.40	Facility		$2.68	$3.19	$5.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.66 / $7.66	Professional		$3.66	$3.66	$7.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $12.18 / $17.46	Facility		$8.67	$12.18	$17.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $20.85 / $30.99	Professional		$9.59	$20.85	$30.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $4.22 / $4.22	Professional		$4.22	$4.22	$4.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.06 / $11.12	Professional		$8.24	$9.06	$11.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.30 / $18.95	Professional		$5.00	$10.30	$18.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $80.00 / $85.00	Facility		$16.73	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.04 / $61.80	Professional		$41.04	$41.04	$61.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Professional		$16.89	$16.89	$16.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $8.24 / $11.19	Facility		$5.91	$8.24	$11.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $4.22 / $8.73	Professional		$4.22	$4.22	$8.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $15.57	Professional		$15.57	$15.57	$15.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.73 / $10.69	Professional		$3.29	$3.73	$10.69