Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $16.43 / $23.35	Facility		$14.09	$16.43	$23.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.92 / $23.35	Professional		$5.00	$13.92	$23.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $3.40 / $5.75	Facility		$2.86	$3.40	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.80 / $9.83	Professional		$2.93	$4.80	$9.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $10.44 / $20.46	Professional		$6.41	$10.44	$20.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.90 / $10.92	Professional		$8.09	$8.90	$10.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.92 / $18.61	Professional		$7.28	$10.92	$18.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $90.00 / $90.00	Facility		$16.42	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $107.77 / $112.09	Professional		$60.68	$107.77	$112.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $8.09 / $25.61	Facility		$8.09	$8.09	$25.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $8.56	Professional		$3.30	$3.30	$8.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.52 / $9.94	Professional		$3.29	$3.52	$9.94