Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $15.78 / $15.78	Facility		$14.17	$15.78	$15.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $16.14 / $23.58	Professional		$14.17	$16.14	$23.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $89.75	Facility		$19.82	$19.82	$89.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $20.07 / $37.49	Professional		$14.58	$20.07	$37.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $16.94 / $40.32	Professional		$11.86	$16.94	$40.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $19.16	Facility		$19.16	$19.16	$19.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $19.85 / $40.18	Professional		$15.20	$19.85	$40.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $18.79 / $25.37	Professional		$12.50	$18.79	$25.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $19.10 / $50.17	Professional		$15.40	$19.10	$50.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.74 / $82.46 / $105.00	Facility		$38.74	$82.46	$105.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $124.43 / $135.75	Professional		$124.43	$124.43	$135.75
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 $15.78 / $20.50 / $28.86	Facility		$15.78	$20.50	$28.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $22.45 / $42.38	Professional		$15.55	$22.45	$42.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Professional		$49.12	$49.12	$49.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $15.53 / $20.88	Professional		$12.50	$15.53	$20.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $15.80 / $31.39	Professional		$11.95	$15.80	$31.39