Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $10.82 / $106.32	Facility		$9.88	$10.82	$106.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $14.13 / $106.32	Professional		$10.82	$14.13	$106.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $14.40 / $38.08	Facility		$11.96	$14.40	$38.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $34.27	Professional		$16.63	$16.63	$34.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $50.45 / $77.94	Facility		$38.83	$50.45	$77.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $77.18 / $113.88	Professional		$19.92	$77.18	$113.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $37.67	Facility		$18.29	$22.13	$37.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $23.91	Professional		$18.80	$18.80	$23.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $36.85 / $44.22	Professional		$29.48	$36.85	$44.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $25.80 / $57.12	Professional		$22.11	$25.80	$57.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $175.04 / $175.04	Facility		$85.00	$175.04	$175.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $199.53 / $276.38	Professional		$194.85	$199.53	$276.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $32.59 / $37.67	Facility		$10.09	$32.59	$37.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.13 / $31.32	Professional		$18.80	$22.13	$31.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $69.55 / $69.55	Professional		$69.55	$69.55	$69.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $30.84 / $40.09	Professional		$29.48	$30.84	$40.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $15.62 / $37.29	Professional		$14.03	$15.62	$37.29