Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $50.12	Professional		$14.13	$16.98	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $102.33	Facility		$20.42	$23.99	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $42.66	Professional		$16.98	$21.88	$42.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $41.69	Professional		$14.79	$21.38	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $40.74	Professional		$15.85	$20.42	$40.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $26.92	Professional		$12.88	$19.05	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $51.29	Professional		$16.98	$20.89	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $138.04	Professional		$134.90	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $34.67	Facility		$16.22	$22.39	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $43.65	Professional		$15.85	$20.89	$43.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $33.11	Professional		$12.30	$16.98	$33.11