Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.89 / $190.55	Facility		$3.72	$5.89	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $91.20	Professional		$2.00	$2.69	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.39 / $6.31	Facility		$2.88	$3.39	$6.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.88 / $35.48	Professional		$2.69	$2.88	$35.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.14 / $64.57	Facility		$1.82	$2.14	$64.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.16 / $8.71	Professional		$2.75	$3.16	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.69	Facility		$2.51	$2.51	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.89 / $8.71	Professional		$2.82	$3.89	$8.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $5.01	Professional		$2.40	$2.95	$5.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.39 / $54.95	Facility		$2.69	$3.39	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.82	Professional		$2.24	$2.24	$2.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.45 / $3.80	Professional		$1.82	$2.45	$3.80
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.17	Professional		$2.69	$2.69	$4.17