Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.76 / $95.88	Facility		$8.91	$9.76	$95.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.50 / $95.88	Professional		$8.91	$15.50	$95.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $12.42 / $21.01	Facility		$10.43	$12.42	$21.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $30.90	Professional		$14.27	$14.27	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $49.00 / $70.26	Facility		$34.90	$49.00	$70.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $84.00 / $107.00	Professional		$38.65	$84.00	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $36.54 / $44.86	Professional		$33.22	$36.54	$44.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $41.54 / $76.43	Professional		$22.00	$41.54	$76.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $156.36 / $157.84	Facility		$67.45	$156.36	$157.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $249.23	Professional		$165.49	$165.49	$249.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $33.22 / $45.53	Facility		$23.78	$33.22	$45.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $30.32	Professional		$13.56	$18.01	$30.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Professional		$62.72	$62.72	$62.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $25.73 / $30.41	Professional		$23.39	$25.73	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $14.98 / $48.00	Professional		$13.27	$14.98	$48.00