Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $99.24	Facility		$18.89	$18.89	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.89 / $99.24	Professional		$15.03	$18.89	$99.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $52.19 / $109.20	Facility		$14.36	$52.19	$109.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $18.43 / $32.76	Professional		$17.19	$18.43	$32.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $49.79 / $74.06	Facility		$35.35	$49.79	$74.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $72.05 / $106.32	Professional		$18.59	$72.05	$106.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $27.32	Facility		$24.27	$24.27	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $25.87	Professional		$17.72	$17.72	$25.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.39 / $37.84	Professional		$6.16	$7.39	$37.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.08 / $52.29	Professional		$20.64	$24.08	$52.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $164.13 / $164.13	Facility		$75.00	$164.13	$164.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.29 / $177.29 / $258.00	Professional		$177.29	$177.29	$258.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.71 / $72.71 / $72.71	Professional		$72.71	$72.71	$72.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $30.41 / $35.47	Facility		$10.14	$30.41	$35.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.27 / $32.74	Professional		$17.72	$24.27	$32.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $64.92 / $64.92	Professional		$64.92	$64.92	$64.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $10.47 / $27.52	Professional		$6.16	$10.47	$27.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $15.71 / $32.64	Professional		$14.30	$15.71	$32.64