Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $5.01 / $49.38	Facility		$4.58	$5.01	$49.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $7.98 / $49.38	Professional		$4.58	$7.98	$49.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $6.60 / $11.17	Facility		$5.55	$6.60	$11.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $15.91	Professional		$7.59	$7.59	$15.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $25.22 / $36.15	Facility		$17.96	$25.22	$36.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $43.26 / $64.33	Professional		$19.91	$43.26	$64.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $18.82 / $23.10	Professional		$17.11	$18.82	$23.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $21.39 / $39.35	Professional		$10.27	$21.39	$39.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $80.50 / $85.00	Facility		$34.72	$80.50	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $85.21 / $128.33	Professional		$85.21	$85.21	$128.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $17.11 / $23.44	Facility		$12.24	$17.11	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $18.30	Professional		$8.75	$8.75	$18.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.45 / $13.69	Professional		$0.41	$0.45	$13.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.71 / $22.27	Professional		$6.83	$7.71	$22.27