Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $20.80 / $542.87	Professional		$16.93	$20.80	$542.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.49 / $198.87 / $523.76	Facility		$164.49	$198.87	$523.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $199.83 / $502.53	Professional		$52.19	$199.83	$502.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $146.41 / $571.08	Facility		$92.60	$146.41	$571.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $28.53 / $89.38	Professional		$19.97	$28.53	$89.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $91.21 / $600.35	Professional		$12.42	$91.21	$600.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $26.64 / $670.86	Professional		$19.73	$26.64	$670.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $389.76 / $818.48	Professional		$17.64	$389.76	$818.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $682.41 / $742.62 / $742.62	Facility		$682.41	$742.62	$742.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.43 / $2,938.51 / $3,465.00	Professional		$1,548.43	$2,938.51	$3,465.00
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 $18.02 / $29.34 / $670.87	Facility		$18.02	$29.34	$670.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $91.21 / $852.48	Professional		$12.76	$91.21	$852.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $61.15 / $1,096.20	Professional		$61.15	$61.15	$1,096.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $329.86 / $620.94	Professional		$70.14	$329.86	$620.94