Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $158.49	Facility		$15.14	$22.91	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $79.43	Professional		$15.14	$25.12	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.78 / $44.67	Facility		$14.13	$17.78	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $70.79	Professional		$17.78	$31.62	$70.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $52.48	Professional		$13.80	$22.91	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $52.48	Professional		$16.60	$26.92	$52.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $36.31	Professional		$14.13	$17.78	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $42.66	Professional		$12.88	$23.99	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $33.88	Professional		$20.42	$20.42	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $44.67	Facility		$15.85	$28.18	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $58.88	Professional		$16.60	$26.92	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $52.48	Professional		$14.45	$23.99	$52.48