Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.49 / $44.07	Facility		$4.09	$4.49	$44.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $7.12 / $44.07	Professional		$4.09	$7.12	$44.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.91 / $9.99	Facility		$4.96	$5.91	$9.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $14.21	Professional		$6.78	$6.78	$14.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $22.56 / $32.34	Facility		$16.05	$22.56	$32.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $38.61 / $57.44	Professional		$17.77	$38.61	$57.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Professional		$7.80	$7.80	$7.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.80 / $20.63	Professional		$15.28	$16.80	$20.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $19.10 / $35.14	Professional		$9.00	$19.10	$35.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $80.00 / $85.00	Facility		$31.02	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $114.60	Professional		$76.09	$76.09	$114.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $15.28 / $20.93	Facility		$10.94	$15.28	$20.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $16.73	Professional		$7.80	$7.80	$16.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $28.82 / $28.82	Professional		$28.82	$28.82	$28.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $10.07 / $12.22	Professional		$6.15	$10.07	$12.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.89 / $27.95	Professional		$6.17	$6.89	$27.95