Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $15.57 / $60.00	Professional		$11.40	$15.57	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.90 / $1.90	Facility		$1.71	$1.90	$1.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $21.16 / $37.81	Professional		$18.59	$21.16	$37.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $24.09 / $33.02	Professional		$13.44	$24.09	$33.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $23.70	Facility		$15.88	$15.88	$23.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $28.50	Professional		$13.50	$15.88	$28.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $28.93	Professional		$24.11	$24.11	$28.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $23.93 / $46.16	Professional		$20.51	$23.93	$46.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $113.86 / $123.36	Facility		$76.00	$113.86	$123.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $18.20 / $41.57	Facility		$11.38	$18.20	$41.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $24.00	Professional		$13.50	$15.88	$24.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $55.63 / $55.63	Professional		$55.63	$55.63	$55.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $20.78 / $24.11	Professional		$20.78	$20.78	$24.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $13.58 / $25.20	Professional		$12.92	$13.58	$25.20