Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $7.49 / $35.15	Facility		$2.99	$7.49	$35.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.99 / $4.62	Professional		$2.88	$2.99	$4.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.36 / $4.32	Facility		$2.75	$3.36	$4.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $3.06 / $5.98	Professional		$1.46	$3.06	$5.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $5.18	Facility		$3.06	$3.06	$5.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.25 / $5.38	Professional		$2.14	$2.25	$5.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.81	Professional		$1.51	$1.51	$1.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $638.07	Professional		$3.00	$5.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $139.11 / $139.11	Facility		$75.00	$139.11	$139.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.17 / $484.17 / $484.17	Professional		$484.17	$484.17	$484.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $3.17 / $60.00	Professional		$1.55	$3.17	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $3.60 / $66.09	Facility		$1.46	$3.60	$66.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $4.13	Professional		$3.06	$3.06	$4.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $3.01	Professional		$3.01	$3.01	$3.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.95 / $2.25	Professional		$1.50	$1.95	$2.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $5.70	Professional		$3.00	$3.00	$5.70