Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.00 / $85.11	Facility		$8.91	$10.00	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $74.13	Professional		$10.00	$15.85	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.79 / $37.15	Facility		$11.48	$14.79	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $346.74	Professional		$15.49	$17.78	$346.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $37.15 / $56.23	Facility		$20.42	$37.15	$56.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $57.54	Professional		$16.98	$23.99	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.39	Professional		$19.95	$19.95	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $48.98	Professional		$19.05	$25.12	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.95 / $33.11	Facility		$12.88	$19.95	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $19.95	Professional		$10.96	$16.98	$19.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $44.67	Professional		$16.22	$28.84	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $60.26	Professional		$12.30	$23.99	$60.26