Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $15.18 / $78.48	Facility		$15.18	$15.18	$78.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $15.18 / $78.48	Professional		$12.62	$15.18	$78.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $41.71 / $86.37	Facility		$11.53	$41.71	$86.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $15.39 / $26.36	Professional		$13.83	$15.39	$26.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $39.39 / $58.59	Facility		$27.96	$39.39	$58.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $56.99 / $100.00	Professional		$14.70	$56.99	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $15.80 / $15.80	Facility		$12.73	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $16.85	Professional		$11.53	$11.53	$16.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.21 / $32.65	Professional		$21.77	$27.21	$32.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.05 / $42.18	Professional		$16.32	$19.05	$42.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $131.74 / $131.74	Facility		$75.00	$131.74	$131.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $207.53	Professional		$141.22	$141.22	$207.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $58.48 / $58.48	Professional		$58.48	$58.48	$58.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $23.83 / $28.53	Facility		$8.15	$23.83	$28.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $25.90	Professional		$11.53	$15.80	$25.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $51.34	Professional		$51.34	$51.34	$51.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $12.61 / $25.29	Professional		$11.66	$12.61	$25.29