Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $9.35 / $91.92	Facility		$8.52	$9.35	$91.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.86 / $91.92	Professional		$8.52	$14.86	$91.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $12.30 / $20.81	Facility		$10.33	$12.30	$20.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.13 / $29.63	Professional		$10.69	$14.13	$29.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $46.95 / $67.31	Facility		$33.44	$46.95	$67.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $80.53 / $102.55	Professional		$37.04	$80.53	$102.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $35.04 / $43.01	Professional		$31.86	$35.04	$43.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $39.83 / $73.28	Professional		$21.00	$39.83	$73.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $149.90 / $151.34	Facility		$64.68	$149.90	$151.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $158.66 / $238.95	Professional		$158.66	$158.66	$238.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $31.86 / $43.23	Facility		$22.79	$31.86	$43.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $34.07	Professional		$16.27	$16.27	$34.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.13 / $60.13	Professional		$60.13	$60.13	$60.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $23.10 / $47.48	Professional		$12.90	$23.10	$47.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.36 / $41.45	Professional		$12.49	$14.36	$41.45