Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $11.71 / $104.66	Facility		$11.71	$11.71	$104.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13.62 / $104.66	Professional		$11.71	$13.62	$104.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $47.15 / $115.13	Facility		$15.80	$47.15	$115.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $15.93 / $36.27	Professional		$11.95	$15.93	$36.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $57.73 / $85.05	Facility		$38.10	$57.73	$85.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $23.66 / $40.65	Professional		$16.55	$23.66	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $39.90	Professional		$36.27	$36.27	$39.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $37.00 / $83.42	Professional		$32.64	$37.00	$83.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $169.74 / $172.28	Facility		$73.63	$169.74	$172.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $21.46 / $37.59	Facility		$16.77	$21.46	$37.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $36.27 / $36.27	Professional		$14.41	$36.27	$36.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
United Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $34.86 / $82.65	Professional		$21.25	$34.86	$82.65