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 $11.78 / $14.79 / $77.76	Professional		$11.78	$14.79	$77.76
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 / $15.01 / $25.63	Professional		$13.45	$15.01	$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 $15.39 / $15.39 / $21.41	Facility		$15.39	$15.39	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $31.88	Professional		$11.23	$11.23	$31.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.38 / $29.63	Professional		$4.48	$5.38	$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 $56.80 / $56.80 / $56.80	Professional		$56.80	$56.80	$56.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $23.61 / $27.71	Facility		$7.93	$23.61	$27.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $26.31	Professional		$11.23	$11.23	$26.31
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 $4.48 / $7.62 / $21.55	Professional		$4.48	$7.62	$21.55
United Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $11.16 / $12.18	Facility		$2.02	$11.16	$12.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $12.29 / $27.19	Professional		$11.16	$12.29	$27.19