Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $112.20	Professional		$10.00	$16.98	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.12 / $61.66	Professional		$13.18	$25.12	$61.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Facility		$41.69	$41.69	$56.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $112.20	Professional		$15.49	$18.62	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $28.18	Facility		$20.89	$20.89	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $37.15	Professional		$17.78	$20.89	$37.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $28.84	Professional		$23.99	$23.99	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $42.66	Professional		$21.38	$25.12	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $147.91	Facility		$100.00	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $35.48	Facility		$9.77	$20.89	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $24.55	Professional		$17.78	$19.50	$24.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $24.55	Professional		$23.99	$23.99	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $8.91 / $19.05	Facility		$1.00	$8.91	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $30.90	Professional		$11.48	$15.14	$30.90