Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $11.17 / $109.86	Facility		$10.19	$11.17	$109.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $17.76 / $109.86	Professional		$10.19	$17.76	$109.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $14.71 / $24.89	Facility		$12.36	$14.71	$24.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $35.40	Professional		$16.89	$16.89	$35.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $56.14 / $80.48	Facility		$39.97	$56.14	$80.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $96.25 / $122.57	Professional		$44.28	$96.25	$122.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $41.88 / $51.39	Professional		$38.07	$41.88	$51.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $47.59 / $87.56	Professional		$25.00	$47.59	$87.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $179.15 / $180.83	Facility		$77.28	$179.15	$180.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $189.59 / $285.52	Professional		$189.59	$189.59	$285.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $38.07 / $51.68	Facility		$27.25	$38.07	$51.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $41.68	Professional		$19.44	$19.44	$41.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $71.86 / $71.86	Professional		$71.86	$71.86	$71.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $25.10 / $30.46	Professional		$13.15	$25.10	$30.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $17.17 / $53.39	Professional		$15.20	$17.17	$53.39