Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $21.58 / $83.47	Facility		$4.19	$21.58	$83.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.23 / $39.43	Professional		$4.19	$4.23	$39.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $7.74 / $17.30	Facility		$4.49	$7.74	$17.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $15.27 / $129.09	Professional		$4.19	$15.27	$129.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $87.00 / $163.76	Facility		$60.60	$87.00	$163.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.48 / $16.57	Professional		$4.26	$4.48	$16.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $4.19	Facility		$3.95	$3.95	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.29	Professional		$4.19	$4.19	$17.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $11.41 / $19.21	Professional		$8.46	$11.41	$19.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.03 / $17.61	Professional		$3.77	$5.03	$17.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.04 / $263.20 / $263.20	Facility		$175.04	$263.20	$263.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,115.14 / $3,115.14 / $3,115.14	Professional		$3,115.14	$3,115.14	$3,115.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $17.34 / $60.00	Professional		$8.46	$17.34	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $5.03 / $155.93	Facility		$4.19	$5.03	$155.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $29.11	Professional		$4.19	$4.19	$29.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $93.69 / $93.69	Professional		$93.69	$93.69	$93.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.19 / $6.29	Professional		$3.35	$4.19	$6.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.26 / $8.41	Professional		$4.19	$4.26	$8.41