Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $77.76	Facility		$14.79	$14.79	$77.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $14.78 / $19.22	Professional		$12.86	$14.78	$19.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $40.85 / $85.52	Facility		$11.24	$40.85	$85.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.56 / $25.63	Professional		$13.45	$14.56	$25.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $39.00 / $58.04	Facility		$27.70	$39.00	$58.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $56.44 / $100.00	Professional		$14.57	$56.44	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.45 / $21.41	Facility		$18.00	$18.45	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $19.67	Professional		$13.47	$13.47	$19.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $7.88 / $29.63	Professional		$6.57	$7.88	$29.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $18.86 / $40.95	Professional		$16.16	$18.86	$40.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.41 / $128.41	Facility		$75.00	$128.41	$128.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $202.05	Professional		$138.63	$138.63	$202.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.20 / $83.20	Professional		$83.20	$83.20	$83.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $25.45 / $28.29	Facility		$7.93	$25.45	$28.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.45 / $25.64	Professional		$13.47	$18.45	$25.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $50.87 / $50.87	Professional		$50.87	$50.87	$50.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $11.17 / $21.55	Professional		$6.57	$11.17	$21.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.29 / $24.64	Professional		$11.36	$12.29	$24.64