Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $6.90 / $67.80	Facility		$6.30	$6.90	$67.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $10.96 / $67.80	Professional		$6.30	$10.96	$67.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $9.07 / $15.35	Facility		$7.62	$9.07	$15.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $21.86	Professional		$10.43	$10.43	$21.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $34.64 / $49.66	Facility		$24.67	$34.64	$49.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $59.40 / $88.36	Professional		$27.33	$59.40	$88.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $25.85 / $31.73	Professional		$23.50	$25.85	$31.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $29.38 / $54.05	Professional		$14.10	$29.38	$54.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $110.59 / $111.63	Facility		$47.71	$110.59	$111.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $117.03 / $176.25	Professional		$117.03	$117.03	$176.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $23.50 / $31.90	Facility		$16.82	$23.50	$31.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $25.73	Professional		$12.00	$12.00	$25.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Professional		$44.35	$44.35	$44.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $16.91 / $21.15	Professional		$15.38	$16.91	$21.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.60 / $27.96	Professional		$9.21	$10.60	$27.96