Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $64.56 / $123.62	Facility		$14.63	$64.56	$123.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.28 / $14.63	Professional		$11.19	$14.28	$14.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $260.00 / $876.00	Facility		$84.85	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.86 / $17.89	Professional		$7.65	$9.86	$17.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $38.89 / $48.53	Facility		$12.44	$38.89	$48.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.19 / $34.11	Professional		$8.94	$11.19	$34.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $28.87 / $57.63	Facility		$11.69	$28.87	$57.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $17.21 / $23.23	Professional		$13.77	$17.21	$23.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.79 / $37.86	Professional		$15.49	$19.79	$37.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $81.75 / $81.75	Facility		$29.95	$81.75	$81.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $86.05 / $129.08	Professional		$86.05	$86.05	$129.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $20.65 / $45.68	Facility		$13.77	$20.65	$45.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $18.93 / $25.82	Professional		$17.21	$18.93	$25.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Professional		$17.21	$17.21	$17.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $15.49 / $23.41	Professional		$13.77	$15.49	$23.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.83 / $38.00	Professional		$7.23	$7.83	$38.00