Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $19.87 / $82.48	Facility		$17.85	$19.87	$82.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $18.71 / $65.63	Professional		$15.25	$18.71	$65.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $293.00 / $876.00	Facility		$12.07	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $33.02 / $65.62	Professional		$19.82	$33.02	$65.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $89.10 / $216.98	Facility		$46.50	$89.10	$216.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $24.68 / $59.15	Professional		$17.29	$24.68	$59.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $30.28 / $37.17	Professional		$27.53	$30.28	$37.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $25.74 / $48.34	Professional		$20.43	$25.74	$48.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $85.00 / $169.20	Facility		$40.72	$85.00	$169.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $119.45 / $186.08	Professional		$114.85	$119.45	$186.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $17.75 / $32.34	Professional		$7.99	$17.75	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $27.63 / $38.22	Facility		$19.57	$27.63	$38.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $44.84	Professional		$19.64	$19.64	$44.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $45.36	Professional		$45.36	$45.36	$45.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.20 / $47.23	Professional		$14.84	$21.20	$47.23