Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $49.79	Facility		$5.57	$5.57	$49.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.48 / $49.79	Professional		$5.57	$6.48	$49.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $28.46 / $70.12	Facility		$8.25	$28.46	$70.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $7.40 / $17.25	Professional		$0.10	$7.40	$17.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $27.45 / $40.47	Facility		$18.11	$27.45	$40.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $11.24 / $19.34	Professional		$7.87	$11.24	$19.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $18.98	Professional		$17.25	$17.25	$18.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $20.70 / $39.68	Professional		$15.53	$20.70	$39.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $142.37 / $158.10	Facility		$50.00	$142.37	$158.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $12.46 / $72.81	Facility		$6.80	$12.46	$72.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $17.25 / $17.25	Professional		$6.85	$17.25	$17.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Professional		$32.57	$32.57	$32.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.57 / $38.54	Professional		$10.11	$16.57	$38.54