Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.70 / $10.50	Facility		$1.88	$3.70	$10.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.90 / $24.64	Professional		$1.88	$1.90	$24.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $3.00 / $6.73	Facility		$1.99	$3.00	$6.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.93 / $20.70	Professional		$1.85	$1.93	$20.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $6.60 / $35.40	Facility		$5.61	$6.60	$35.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $15.10 / $44.87	Professional		$15.10	$15.10	$44.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.88	Facility		$1.78	$1.78	$1.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.52	Professional		$1.88	$1.88	$2.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.80 / $2.43	Professional		$1.24	$1.80	$2.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.25 / $5.01	Professional		$1.69	$2.25	$5.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $123.45 / $123.45	Facility		$75.00	$123.45	$123.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.12 / $2,345.12 / $2,345.12	Professional		$2,345.12	$2,345.12	$2,345.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.69 / $60.00	Professional		$1.80	$3.69	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.18 / $25.28	Facility		$1.88	$2.18	$25.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $14.28	Professional		$1.88	$1.88	$14.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $43.95	Professional		$43.95	$43.95	$43.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.88 / $2.82	Professional		$1.51	$1.88	$2.82
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $3.69	Professional		$1.88	$1.88	$3.69