Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $5.26 / $47.02	Facility		$5.26	$5.26	$47.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.12 / $47.02	Professional		$5.26	$6.12	$47.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $7.53 / $8.52	Facility		$7.06	$7.53	$8.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.16 / $16.29	Professional		$4.75	$7.16	$16.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.50 / $20.64	Professional		$8.75	$12.50	$20.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.29 / $17.92	Professional		$10.74	$16.29	$17.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.29 / $37.47	Professional		$14.00	$16.29	$37.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $90.00 / $90.00	Facility		$33.07	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $8.75 / $16.29	Facility		$6.86	$8.75	$16.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $16.29 / $16.29	Professional		$2.47	$16.29	$16.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.71 / $36.39	Professional		$9.55	$14.71	$36.39