Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $16.14 / $16.14	Facility		$14.48	$16.14	$16.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.55 / $24.08	Professional		$14.48	$16.55	$24.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $91.85	Facility		$20.30	$20.30	$91.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $20.54 / $38.36	Professional		$14.94	$20.54	$38.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $17.32 / $41.25	Professional		$12.12	$17.32	$41.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Facility		$19.55	$19.55	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $20.41 / $41.80	Professional		$15.57	$20.41	$41.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $19.14 / $25.84	Professional		$12.80	$19.14	$25.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.47 / $51.10	Professional		$15.70	$19.47	$51.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $84.08 / $105.00	Facility		$39.59	$84.08	$105.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.25 / $135.25 / $138.30	Professional		$135.25	$135.25	$138.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $20.89 / $29.44	Facility		$16.14	$20.89	$29.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $23.08 / $43.76	Professional		$15.90	$23.08	$43.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $51.48 / $51.48	Professional		$51.48	$51.48	$51.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $16.42 / $34.53	Professional		$12.37	$16.42	$34.53