Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $10.55 / $73.95	Facility		$8.52	$10.55	$73.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $9.82 / $60.61	Professional		$6.52	$9.82	$60.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $11.42 / $270.00	Facility		$8.85	$11.42	$270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.17 / $27.33	Professional		$8.90	$12.17	$27.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $24.60 / $34.07	Facility		$15.38	$24.60	$34.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.43 / $33.58	Professional		$9.58	$13.43	$33.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.10 / $18.54	Professional		$13.73	$15.10	$18.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.29 / $26.76	Professional		$10.71	$14.29	$26.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $80.00 / $85.00	Facility		$19.87	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $68.70 / $90.23	Professional		$68.70	$68.70	$90.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $13.19 / $18.04	Facility		$9.14	$13.19	$18.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $21.12	Professional		$9.52	$9.52	$21.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $37.61 / $37.61	Professional		$37.61	$37.61	$37.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $9.82 / $26.11	Professional		$6.36	$9.82	$26.11