Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.64 / $27.28	Professional		$9.83	$12.64	$27.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $19.93 / $29.05	Facility		$16.94	$19.93	$29.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.47 / $31.58	Professional		$8.06	$13.47	$31.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.35 / $32.56	Professional		$6.55	$9.35	$32.56
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 $7.74 / $12.90 / $42.91	Professional		$7.74	$12.90	$42.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $18.19 / $24.56	Professional		$11.50	$18.19	$24.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.01 / $31.83	Professional		$16.37	$20.01	$31.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $86.40 / $100.00	Facility		$44.57	$86.40	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $91.00 / $136.43	Professional		$91.00	$91.00	$136.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $21.83 / $34.04	Facility		$14.39	$21.83	$34.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $18.30 / $32.22	Professional		$7.79	$18.30	$32.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.07 / $53.07	Professional		$53.07	$53.07	$53.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $172.50	Professional		$14.55	$14.55	$172.50
United Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.39 / $33.53	Professional		$8.81	$10.39	$33.53