Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.12	Facility		$21.88	$21.88	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $33.11	Professional		$19.95	$22.91	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $83.18	Facility		$26.30	$33.11	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $77.62	Professional		$25.12	$35.48	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $91.20	Professional		$26.30	$33.11	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $83.18	Professional		$26.30	$39.81	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $41.69 / $69.18	Professional		$20.42	$41.69	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $416.87	Professional		$257.04	$416.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $69.18	Facility		$22.39	$29.51	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $75.86	Professional		$40.74	$47.86	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $85.11	Professional		$20.89	$30.90	$85.11