Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $11.42 / $102.12	Facility		$11.42	$11.42	$102.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.28 / $102.12	Professional		$11.42	$13.28	$102.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $46.02 / $112.37	Facility		$15.40	$46.02	$112.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $15.19 / $35.40	Professional		$11.65	$15.19	$35.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.30 / $82.99	Facility		$37.15	$56.30	$82.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $23.05 / $39.67	Professional		$16.14	$23.05	$39.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $35.40 / $38.94	Professional		$23.33	$35.40	$38.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $39.00 / $81.42	Professional		$31.86	$39.00	$81.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $165.67 / $168.15	Facility		$71.86	$165.67	$168.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $31.69 / $55.16	Facility		$16.36	$31.69	$55.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $35.40 / $35.40	Professional		$14.06	$35.40	$35.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $66.80 / $66.80	Professional		$66.80	$66.80	$66.80
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $30.46 / $89.25	Professional		$20.74	$30.46	$89.25