Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $60.10 / $179.56	Facility		$18.75	$60.10	$179.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $20.75 / $21.25	Professional		$13.63	$20.75	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $260.00 / $876.00	Facility		$123.25	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $36.25 / $64.25	Professional		$28.92	$36.25	$64.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $56.50 / $70.50	Facility		$18.07	$56.50	$70.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $16.25 / $48.95	Professional		$11.38	$16.25	$48.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $41.93 / $83.69	Facility		$17.00	$41.93	$83.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.50 / $33.75	Professional		$25.00	$27.50	$33.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $28.75 / $54.50	Professional		$22.50	$28.75	$54.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $118.75 / $118.75	Facility		$43.50	$118.75	$118.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $187.50	Professional		$125.00	$125.00	$187.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $30.00 / $71.70	Facility		$20.00	$30.00	$71.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.50 / $36.00	Professional		$25.00	$27.50	$36.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $11.25 / $60.20	Professional		$10.50	$11.25	$60.20