Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $13.02 / $113.12	Facility		$11.89	$13.02	$113.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $20.00 / $109.47	Professional		$13.02	$20.00	$109.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $14.92 / $39.46	Facility		$12.39	$14.92	$39.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $41.25	Professional		$17.22	$17.22	$41.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $53.65 / $82.88	Facility		$41.29	$53.65	$82.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $70.76 / $121.19	Professional		$21.19	$70.76	$121.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $26.66 / $33.64	Facility		$21.84	$26.66	$33.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $27.46	Professional		$22.66	$22.66	$27.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $39.22 / $47.06	Professional		$31.38	$39.22	$47.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.45 / $60.79	Professional		$23.53	$27.45	$60.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $196.23 / $196.23	Facility		$85.00	$196.23	$196.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $220.91 / $397.13	Professional		$220.91	$220.91	$397.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $35.08 / $40.69	Facility		$12.15	$35.08	$40.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.66 / $39.22	Professional		$22.66	$26.66	$39.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $31.38 / $36.78	Professional		$28.29	$31.38	$36.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $18.82 / $37.21	Professional		$17.00	$18.82	$37.21