Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $4.20	Facility		$0.65	$0.65	$4.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.76 / $4.20	Professional		$0.65	$0.76	$4.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $2.14 / $5.28	Facility		$0.87	$2.14	$5.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.13 / $1.78	Professional		$1.03	$1.13	$1.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.68 / $3.54	Facility		$1.81	$2.68	$3.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.24 / $2.02	Professional		$0.87	$1.24	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.43	Professional		$1.30	$1.30	$1.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.70 / $3.91	Professional		$1.00	$1.70	$3.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $90.00 / $90.00	Facility		$2.50	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.30 / $2.10	Facility		$0.93	$1.30	$2.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.30 / $1.30	Professional		$0.72	$1.30	$1.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $2.74 / $2.74	Professional		$2.74	$2.74	$2.74
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.69 / $3.87	Professional		$0.78	$1.69	$3.87