Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $14.86 / $110.94	Facility		$14.86	$14.86	$110.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.28 / $110.94	Professional		$14.86	$17.28	$110.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $47.65 / $116.34	Facility		$19.48	$47.65	$116.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $26.32 / $33.65	Professional		$22.93	$26.32	$33.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $67.48 / $84.21	Facility		$43.53	$67.48	$84.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $85.39 / $119.15	Professional		$39.97	$85.39	$119.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $40.32	Professional		$36.65	$36.65	$40.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $41.34 / $95.08	Professional		$35.00	$41.34	$95.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $158.61 / $174.09	Facility		$66.45	$158.61	$174.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $27.18 / $47.69	Facility		$21.25	$27.18	$47.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $36.65 / $36.65	Professional		$18.29	$36.65	$36.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Professional		$72.56	$72.56	$72.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $91.50 / $155.55	Professional		$29.32	$91.50	$155.55
United Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $38.74 / $87.61	Professional		$19.18	$38.74	$87.61