Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $117.49	Facility		$15.14	$15.14	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $104.71	Professional		$12.02	$15.14	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.79 / $63.10	Facility		$11.48	$14.79	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $34.67	Professional		$15.49	$15.49	$34.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $63.10	Facility		$28.84	$47.86	$63.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $97.72	Professional		$30.20	$51.29	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Facility		$12.59	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $15.85	Professional		$11.48	$11.48	$15.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $37.15	Professional		$22.39	$30.20	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $48.98	Professional		$19.05	$25.12	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $208.93	Professional		$141.25	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $25.12 / $34.67	Facility		$9.33	$25.12	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $26.30	Professional		$11.48	$11.48	$26.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $12.59 / $34.67	Facility		$2.09	$12.59	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $27.54	Professional		$11.75	$13.80	$27.54