Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $9.26 / $3,052.18	Facility		$4.45	$9.26	$3,052.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.84 / $1,215.50	Professional		$4.45	$4.84	$1,215.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $7.11 / $15.93	Facility		$4.71	$7.11	$15.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.51 / $9.58	Professional		$4.36	$4.51	$9.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $6.30 / $10.56	Facility		$5.69	$6.30	$10.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.76 / $11.20	Professional		$4.53	$4.76	$11.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $4.45	Facility		$4.20	$4.20	$4.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.66	Professional		$4.45	$4.45	$5.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.78 / $10.58	Professional		$4.28	$5.78	$10.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.34 / $9.78	Professional		$4.01	$5.34	$9.78
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 $1,033.47 / $1,033.47 / $1,033.47	Professional		$1,033.47	$1,033.47	$1,033.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $8.77 / $60.00	Professional		$4.28	$8.77	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.57 / $7.71	Facility		$4.45	$4.57	$7.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.67	Professional		$4.45	$4.45	$5.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.45 / $6.67	Professional		$3.56	$4.45	$6.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.54 / $8.57	Professional		$4.45	$4.54	$8.57