Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $11.08 / $57.22	Facility		$11.08	$11.08	$57.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.08 / $57.22	Professional		$9.22	$11.08	$57.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $30.38 / $62.91	Facility		$8.42	$30.38	$62.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.78 / $19.23	Professional		$10.11	$11.78	$19.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $28.72 / $42.71	Facility		$20.38	$28.72	$42.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $42.56 / $74.54	Professional		$10.72	$42.56	$74.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.40 / $13.40	Facility		$9.27	$13.40	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.80	Professional		$9.77	$9.77	$13.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $19.82 / $23.78	Professional		$15.86	$19.82	$23.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $13.87 / $30.72	Professional		$11.89	$13.87	$30.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $96.08 / $96.08	Facility		$75.00	$96.08	$96.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $103.06 / $151.35	Professional		$103.06	$103.06	$151.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $42.68 / $42.68	Professional		$42.68	$42.68	$42.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $17.36 / $20.81	Facility		$5.94	$17.36	$20.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.40 / $18.87	Professional		$9.77	$13.40	$18.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $37.43 / $37.43	Professional		$37.43	$37.43	$37.43
United Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $8.36 / $9.11	Facility		$5.79	$8.36	$9.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.19 / $25.70	Professional		$8.36	$9.19	$25.70