Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $28.57 / $162.65	Facility		$16.17	$28.57	$162.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $28.57 / $96.27	Professional		$16.17	$28.57	$96.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $18.97 / $49.96	Facility		$15.69	$18.97	$49.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $27.94 / $61.76	Professional		$16.68	$27.94	$61.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.79 / $55.19	Professional		$16.64	$23.79	$55.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $28.95 / $66.17	Professional		$19.23	$28.95	$66.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $21.13 / $39.14	Professional		$16.75	$21.13	$39.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $27.82 / $48.93	Professional		$18.28	$27.82	$48.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $89.68 / $89.68	Facility		$71.25	$89.68	$89.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $240.54 / $248.48	Professional		$233.00	$240.54	$248.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $30.45 / $44.00	Facility		$21.55	$30.45	$44.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $29.93 / $67.05	Professional		$19.12	$29.93	$67.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $61.34 / $87.79	Professional		$61.34	$61.34	$87.79
United Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $31.16 / $79.69	Professional		$22.04	$31.16	$79.69