Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.27 / $10.72	Facility		$2.40	$4.27	$10.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.04 / $22.91	Professional		$2.00	$2.04	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.34 / $5.37	Facility		$2.04	$2.34	$5.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.04 / $23.44	Professional		$1.86	$2.04	$23.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.31 / $30.20	Facility		$5.01	$6.31	$30.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $39.81	Professional		$15.14	$17.38	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.51	Professional		$2.04	$2.04	$2.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.51	Professional		$1.86	$1.86	$2.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.24 / $5.50	Professional		$1.82	$2.24	$5.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.75 / $27.54	Facility		$2.04	$2.75	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $5.62	Professional		$2.14	$2.14	$5.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.34 / $3.63	Professional		$1.74	$2.34	$3.63
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $89.13 / $89.13	Facility		$2.04	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.24	Professional		$2.04	$2.04	$3.24