Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $51.29	Professional		$15.85	$19.95	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $64.57	Professional		$17.38	$24.55	$64.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $40.74	Professional		$13.80	$16.22	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.92 / $30.20	Facility		$22.39	$26.92	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $56.23	Professional		$14.79	$23.44	$56.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.38 / $28.84	Professional		$9.77	$17.38	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.70	Professional		$14.13	$19.95	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $177.83	Professional		$138.04	$177.83	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $30.90	Professional		$18.62	$18.62	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $30.90	Facility		$14.45	$20.42	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $56.23	Professional		$15.14	$23.99	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $37.15	Professional		$14.45	$18.62	$37.15