Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $53.70 / $91.20	Facility		$18.20	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $63.10	Professional		$10.96	$16.98	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.05 / $87.10	Facility		$15.14	$19.05	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $54.95	Professional		$16.22	$25.70	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $407.38 / $1,778.28	Facility		$66.07	$407.38	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $46.77	Professional		$14.13	$23.44	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $8.13	Facility		$6.92	$6.92	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $38.90	Professional		$13.18	$19.05	$38.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $20.42	Professional		$10.96	$14.13	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $26.30	Professional		$10.23	$15.49	$26.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $36.31	Facility		$12.30	$18.62	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $38.90	Professional		$13.18	$19.50	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $37.15	Professional		$10.72	$16.98	$37.15