Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.92 / $79.09	Facility		$16.22	$28.92	$79.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.38 / $85.05	Professional		$16.22	$16.38	$85.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $17.21 / $23.36	Facility		$13.07	$17.21	$23.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $52.72	Professional		$14.46	$16.22	$52.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $41.81 / $81.40	Facility		$34.04	$41.81	$81.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $27.80	Professional		$16.52	$16.52	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $22.95	Facility		$15.30	$15.30	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $17.60	Professional		$12.80	$16.00	$17.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.64 / $43.31	Professional		$14.60	$18.64	$43.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $141.51 / $141.51	Facility		$121.61	$141.51	$141.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.38 / $27.54	Facility		$15.30	$16.38	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.43 / $57.78	Professional		$16.22	$16.43	$57.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Professional		$57.77	$57.77	$57.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $39.99	Professional		$16.22	$16.22	$39.99