Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $6.66 / $65.51	Facility		$6.08	$6.66	$65.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $10.59 / $65.51	Professional		$6.08	$10.59	$65.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $9.55 / $16.16	Facility		$8.02	$9.55	$16.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $10.97 / $21.11	Professional		$10.97	$10.97	$21.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $33.45 / $47.96	Facility		$23.82	$33.45	$47.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $57.40 / $85.35	Professional		$26.41	$57.40	$85.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $24.97 / $30.65	Professional		$22.70	$24.97	$30.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $28.38 / $52.21	Professional		$13.62	$28.38	$52.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $106.80 / $107.83	Facility		$46.08	$106.80	$107.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $113.05 / $170.25	Professional		$113.05	$113.05	$170.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $22.70 / $31.10	Facility		$16.23	$22.70	$31.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $13.20	Professional		$11.59	$11.59	$13.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $42.85 / $42.85	Professional		$42.85	$42.85	$42.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $21.82 / $31.32	Professional		$0.49	$21.82	$31.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.23 / $25.42	Professional		$9.06	$10.23	$25.42