Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $70.79 / $114.82	Facility		$23.99	$70.79	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.05	Professional		$10.96	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $87.10	Facility		$43.65	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $20.89	Professional		$7.59	$10.72	$20.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.90 / $48.98	Facility		$12.30	$38.90	$48.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $34.67	Professional		$10.00	$13.49	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $61.66	Facility		$11.75	$28.84	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $23.44	Professional		$13.80	$19.05	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $30.20	Professional		$15.49	$19.05	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $128.82	Professional		$85.11	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $44.67	Facility		$13.49	$20.42	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $24.55	Professional		$17.38	$19.05	$24.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $208.93	Professional		$13.80	$17.38	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.38 / $17.38	Facility		$7.24	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $33.11	Professional		$7.24	$7.24	$33.11