Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $11.82 / $56.77	Facility		$11.82	$11.82	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $11.82 / $56.77	Professional		$9.73	$11.82	$56.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $30.15 / $62.44	Facility		$8.98	$30.15	$62.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.52 / $19.14	Professional		$10.00	$11.52	$19.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $28.47 / $42.37	Facility		$20.22	$28.47	$42.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $42.22 / $73.95	Professional		$10.63	$42.22	$73.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $13.34 / $13.34	Facility		$9.19	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $13.74	Professional		$9.74	$9.74	$13.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.19 / $21.64	Professional		$5.99	$7.19	$21.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $13.77 / $30.49	Professional		$11.80	$13.77	$30.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $101.74 / $101.74	Facility		$75.00	$101.74	$101.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $129.84 / $147.53	Professional		$129.84	$129.84	$147.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $53.77 / $53.77	Professional		$53.77	$53.77	$53.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $17.39 / $20.65	Facility		$6.34	$17.39	$20.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $19.59	Professional		$9.74	$13.34	$19.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.13 / $37.13	Professional		$37.13	$37.13	$37.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $10.18 / $15.74	Professional		$5.99	$10.18	$15.74
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.83 / $27.59	Professional		$9.24	$9.83	$27.59