Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.46 / $82.93	Facility		$15.46	$15.46	$82.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.46 / $82.93	Professional		$12.25	$15.46	$82.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $42.67 / $91.23	Facility		$11.74	$42.67	$91.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.65 / $23.93	Professional		$12.89	$15.65	$23.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $41.61 / $61.90	Facility		$29.54	$41.61	$61.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $60.21 / $100.00	Professional		$15.54	$60.21	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $16.30 / $16.30	Facility		$13.44	$16.30	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $17.39	Professional		$11.91	$11.91	$17.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $13.13 / $31.61	Professional		$10.94	$13.13	$31.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $20.12 / $44.55	Professional		$17.23	$20.12	$44.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $136.52 / $136.52	Facility		$85.00	$136.52	$136.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $161.27 / $216.38	Professional		$161.27	$161.27	$216.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $57.56 / $57.56	Professional		$57.56	$57.56	$57.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $25.42 / $29.16	Facility		$8.27	$25.42	$29.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.30 / $28.74	Professional		$11.91	$16.30	$28.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Professional		$54.25	$54.25	$54.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $18.60 / $22.99	Professional		$10.94	$18.60	$22.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.34 / $29.96	Professional		$12.22	$14.34	$29.96