Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.22 / $41.50	Facility		$3.85	$4.22	$41.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $6.71 / $41.50	Professional		$3.85	$6.71	$41.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $5.56 / $9.40	Facility		$4.67	$5.56	$9.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $13.38	Professional		$6.38	$6.38	$13.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $21.19 / $30.39	Facility		$15.09	$21.19	$30.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $36.36 / $54.09	Professional		$16.72	$36.36	$54.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.34 / $7.34	Professional		$7.34	$7.34	$7.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $15.83 / $19.43	Professional		$14.39	$15.83	$19.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.98 / $33.10	Professional		$10.00	$17.98	$33.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $80.00 / $85.00	Facility		$29.21	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $71.66 / $107.93	Professional		$71.66	$71.66	$107.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $14.39 / $19.71	Facility		$10.29	$14.39	$19.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.34 / $15.38	Professional		$7.34	$7.34	$15.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Professional		$27.14	$27.14	$27.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $12.95	Professional		$11.51	$11.51	$12.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $6.48 / $17.68	Professional		$5.63	$6.48	$17.68