Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $76.13 / $118.86	Facility		$15.60	$76.13	$118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $15.50 / $38.93	Professional		$11.34	$15.50	$38.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $40.64 / $293.00	Facility		$18.46	$40.64	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $22.11 / $34.54	Professional		$8.32	$22.11	$34.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $85.00 / $191.36	Facility		$39.17	$85.00	$191.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.52 / $45.32	Professional		$9.46	$13.52	$45.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.12 / $56.39	Facility		$11.48	$22.12	$56.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $19.41 / $25.81	Professional		$10.71	$19.41	$25.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $16.85 / $26.96	Professional		$14.97	$16.85	$26.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.85 / $36.72	Professional		$13.48	$16.85	$36.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.04 / $80.04	Facility		$50.00	$80.04	$80.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $17.53 / $42.13	Facility		$13.98	$17.53	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.85 / $25.10	Professional		$11.13	$16.85	$25.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $59.14 / $59.14	Professional		$59.14	$59.14	$59.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.27 / $20.96	Professional		$13.48	$15.27	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.74 / $30.50	Professional		$7.08	$8.74	$30.50