Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.89 / $115.61	Professional		$13.48	$16.89	$115.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $19.70 / $28.72	Facility		$16.75	$19.70	$28.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $19.22 / $52.50	Professional		$12.21	$19.22	$52.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.33 / $46.37	Professional		$9.33	$13.33	$46.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $17.05 / $64.89	Professional		$10.98	$17.05	$64.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $17.98 / $24.27	Professional		$15.97	$17.98	$24.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.78 / $31.47	Professional		$16.18	$19.78	$31.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $85.41 / $100.00	Facility		$44.05	$85.41	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.85	Professional		$134.00	$134.00	$134.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Professional		$17.98	$17.98	$17.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $24.27 / $39.84	Facility		$17.98	$24.27	$39.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $21.76 / $45.93	Professional		$11.23	$21.76	$45.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $239.55	Professional		$14.38	$14.38	$239.55
United Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $73.50 / $73.50	Facility		$73.50	$73.50	$73.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.79 / $39.56	Professional		$10.79	$12.79	$39.56