Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.02 / $6.45	Facility		$2.93	$3.02	$6.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.96 / $4.09	Professional		$2.93	$2.96	$4.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $8.05 / $14.00	Facility		$3.92	$8.05	$14.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.00 / $8.19	Professional		$2.93	$3.00	$8.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $7.90 / $9.28	Facility		$7.90	$7.90	$9.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.07 / $7.65	Professional		$2.98	$3.07	$7.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $3.93 / $6.98	Facility		$2.76	$3.93	$6.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.76	Professional		$2.93	$2.93	$3.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.01 / $8.86	Professional		$2.97	$4.01	$8.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.37 / $6.45	Professional		$2.64	$3.37	$6.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.49 / $1,664.49 / $1,664.49	Professional		$1,664.49	$1,664.49	$1,664.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $6.08 / $60.00	Professional		$2.97	$6.08	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.21 / $6.23	Facility		$2.93	$3.21	$6.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $4.09	Professional		$2.93	$2.93	$4.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.93 / $4.38	Professional		$2.34	$2.93	$4.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $4.72	Professional		$2.93	$2.93	$4.72