Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $16.30 / $103.78	Facility		$15.64	$16.30	$103.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $20.14 / $57.82	Professional		$14.27	$20.14	$57.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $14.88 / $16.79	Facility		$12.82	$14.88	$16.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $18.03 / $46.61	Professional		$12.82	$18.03	$46.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $30.27 / $48.48	Facility		$24.08	$30.27	$48.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.68 / $34.24	Professional		$7.06	$9.68	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $20.25 / $20.25	Facility		$20.25	$20.25	$20.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $20.42 / $27.57	Professional		$18.12	$20.42	$27.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $20.42 / $36.01	Professional		$15.55	$20.42	$36.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $77.76 / $77.76	Facility		$77.47	$77.76	$77.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $107.17 / $139.35	Professional		$96.34	$107.17	$139.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $20.66 / $28.99	Facility		$15.21	$20.66	$28.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $42.32	Professional		$15.18	$15.18	$42.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $52.28 / $55.89	Professional		$52.28	$52.28	$55.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $16.45 / $41.93	Professional		$11.99	$16.45	$41.93