Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $22.45 / $200.71	Facility		$22.45	$22.45	$200.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.11 / $200.71	Professional		$22.45	$26.11	$200.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $90.44 / $220.84	Facility		$30.28	$90.44	$220.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $29.86 / $69.56	Professional		$22.89	$29.86	$69.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $100.00 / $163.11	Facility		$73.23	$100.00	$163.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $45.33 / $77.95	Professional		$31.73	$45.33	$77.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $69.56 / $76.53	Professional		$45.85	$69.56	$76.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $83.48 / $160.01	Professional		$62.61	$83.48	$160.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.88 / $325.58 / $330.46	Facility		$116.88	$325.58	$330.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $69.56 / $108.44	Facility		$32.15	$69.56	$108.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $69.56 / $69.56	Professional		$27.63	$69.56	$69.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $131.29 / $131.29	Professional		$131.29	$131.29	$131.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $65.70 / $158.51	Professional		$40.76	$65.70	$158.51