Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $33.52	Facility		$3.75	$3.75	$33.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.36 / $33.52	Professional		$3.75	$4.36	$33.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $15.09 / $36.85	Facility		$5.05	$15.09	$36.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.25 / $11.61	Professional		$3.82	$4.25	$11.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $18.48 / $27.24	Facility		$12.20	$18.48	$27.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.57 / $13.02	Professional		$5.30	$7.57	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $12.77	Professional		$11.61	$11.61	$12.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.00 / $26.70	Professional		$10.45	$13.00	$26.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $85.00 / $85.00	Facility		$23.57	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $6.86 / $12.03	Facility		$5.36	$6.86	$12.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $11.61 / $11.61	Professional		$4.62	$11.61	$11.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Professional		$21.92	$21.92	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $11.17 / $31.30	Professional		$6.80	$11.17	$31.30