Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.90 / $57.91	Facility		$5.38	$5.90	$57.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $9.08 / $57.91	Professional		$5.38	$9.08	$57.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $7.75 / $13.11	Facility		$6.51	$7.75	$13.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $8.90 / $18.68	Professional		$8.90	$8.90	$18.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $29.58 / $42.41	Facility		$21.06	$29.58	$42.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $50.74 / $75.45	Professional		$23.34	$50.74	$75.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.08 / $27.09	Professional		$20.07	$22.08	$27.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $25.09 / $46.16	Professional		$13.00	$25.09	$46.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $93.88 / $95.33	Facility		$40.78	$93.88	$95.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $99.95 / $150.68	Professional		$99.95	$99.95	$150.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $20.07 / $27.23	Facility		$14.36	$20.07	$27.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $21.46	Professional		$10.26	$10.26	$21.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $18.05	Professional		$16.05	$16.05	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $9.06 / $29.80	Professional		$8.11	$9.06	$29.80