Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $9.28 / $76.06	Facility		$8.48	$9.28	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $14.13 / $76.06	Professional		$8.82	$14.13	$76.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $11.42 / $19.32	Facility		$9.59	$11.42	$19.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $13.76 / $23.43	Professional		$12.80	$13.76	$23.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $45.86 / $65.75	Facility		$32.65	$45.86	$65.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $65.06 / $95.23	Professional		$30.75	$65.06	$95.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.71 / $34.01	Professional		$25.19	$27.71	$34.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $35.19 / $75.16	Professional		$25.34	$35.19	$75.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $120.00 / $120.00	Facility		$51.14	$120.00	$120.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $127.35 / $188.93	Professional		$125.45	$127.35	$188.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Professional		$54.53	$54.53	$54.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $25.19 / $34.67	Facility		$22.26	$25.19	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $27.42	Professional		$15.09	$15.09	$27.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Professional		$49.75	$49.75	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.21 / $36.97	Professional		$12.40	$13.21	$36.97