Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $82.78 / $82.78	Facility		$17.18	$82.78	$82.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $82.78 / $82.78	Professional		$3.71	$82.78	$82.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $11.94 / $293.00	Facility		$5.42	$11.94	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.80 / $4.75	Professional		$2.20	$2.80	$4.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $57.40 / $82.09	Professional		$36.03	$57.40	$82.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $58.30 / $58.30	Facility		$58.30	$58.30	$58.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.63 / $7.04	Professional		$5.25	$5.63	$7.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.45 / $99.00	Professional		$4.95	$5.45	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.95 / $9.00	Professional		$3.96	$4.95	$9.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $90.00 / $90.00	Facility		$86.00	$90.00	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $5.94 / $82.78	Facility		$3.29	$5.94	$82.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.95 / $6.11	Professional		$3.81	$4.95	$6.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.57 / $8.99	Professional		$2.08	$2.57	$8.99