Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.00 / $16.39	Facility		$13.18	$16.00	$16.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.47 / $22.80	Professional		$12.68	$16.47	$22.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $78.65 / $177.16	Facility		$18.75	$78.65	$177.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $25.00 / $25.75	Professional		$8.00	$25.00	$25.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $23.68	Professional		$16.22	$16.22	$23.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $16.47 / $19.76	Professional		$16.47	$16.47	$19.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $38.00 / $44.65	Professional		$26.00	$38.00	$44.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $246.68 / $246.68	Facility		$85.00	$246.68	$246.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $214.83 / $223.24 / $297.00	Professional		$214.83	$223.24	$297.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Professional		$62.81	$62.81	$62.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $27.82 / $55.81	Facility		$16.00	$27.82	$55.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $53.68	Professional		$16.22	$22.22	$53.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $103.21 / $103.21	Professional		$103.21	$103.21	$103.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $28.00 / $44.65	Professional		$16.47	$28.00	$44.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $19.37 / $49.38	Professional		$17.66	$19.37	$49.38