Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $103.75	Facility		$11.60	$11.60	$103.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $13.49 / $103.75	Professional		$11.60	$13.49	$103.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $46.75 / $114.15	Facility		$15.65	$46.75	$114.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $15.43 / $35.96	Professional		$11.83	$15.43	$35.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $57.19 / $84.32	Facility		$37.74	$57.19	$84.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $23.42 / $40.29	Professional		$16.39	$23.42	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $35.96 / $39.56	Professional		$23.70	$35.96	$39.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.15 / $82.71	Professional		$32.36	$43.15	$82.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $168.29 / $170.81	Facility		$73.00	$168.29	$170.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $35.96 / $56.05	Facility		$16.61	$35.96	$56.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $35.96 / $35.96	Professional		$14.28	$35.96	$35.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $67.87 / $67.87	Professional		$67.87	$67.87	$67.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $32.40 / $80.30	Professional		$21.07	$32.40	$80.30