Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $8.17 / $80.33	Facility		$7.46	$8.17	$80.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $12.99 / $80.33	Professional		$7.46	$12.99	$80.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $10.75 / $18.18	Facility		$9.02	$10.75	$18.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $25.89	Professional		$12.35	$12.35	$25.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $41.05 / $58.85	Facility		$29.23	$41.05	$58.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $70.38 / $100.00	Professional		$32.38	$70.38	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $30.62 / $37.58	Professional		$27.84	$30.62	$37.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $34.79 / $64.03	Professional		$14.00	$34.79	$64.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $130.99 / $132.24	Facility		$56.52	$130.99	$132.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $208.80	Professional		$138.63	$138.63	$208.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $27.84 / $38.14	Facility		$19.92	$27.84	$38.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $30.48	Professional		$14.22	$14.22	$30.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $52.55 / $52.55	Professional		$52.55	$52.55	$52.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $11.05 / $18.35	Professional		$5.38	$11.05	$18.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $12.55 / $39.04	Professional		$11.11	$12.55	$39.04