Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $128.82	Facility		$21.88	$66.07	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $66.07	Professional		$3.02	$5.01	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $11.48 / $24.55	Facility		$2.82	$11.48	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.82 / $5.75	Professional		$2.45	$2.82	$5.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $11.22 / $13.80	Facility		$3.55	$11.22	$13.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $23.99	Professional		$10.72	$14.45	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.24 / $6.46	Facility		$2.63	$3.24	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.63 / $7.08	Professional		$2.57	$2.63	$7.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.50 / $100.00	Professional		$4.90	$5.50	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $9.55	Professional		$3.98	$4.90	$9.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.89 / $66.07	Facility		$2.95	$5.89	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $4.90	Professional		$2.95	$2.95	$4.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.95 / $4.90	Facility		$2.24	$2.95	$4.90
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.57 / $9.55	Professional		$2.09	$2.57	$9.55