Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $59.55 / $126.66	Facility		$51.09	$59.55	$126.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $50.45 / $126.66	Professional		$24.65	$50.45	$126.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $18.39 / $31.12	Facility		$15.45	$18.39	$31.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.10 / $53.21	Professional		$15.85	$26.10	$53.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $55.40 / $101.35	Professional		$33.83	$55.40	$101.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $48.29 / $59.27	Professional		$43.90	$48.29	$59.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $54.88 / $100.97	Professional		$26.34	$54.88	$100.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $205.45 / $208.53	Facility		$85.00	$205.45	$208.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $394.00 / $409.76	Professional		$329.25	$394.00	$409.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $43.90 / $93.13	Facility		$43.90	$43.90	$93.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $46.47	Professional		$17.91	$17.91	$46.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $82.85 / $82.85	Professional		$82.85	$82.85	$82.85
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $19.01 / $65.16	Professional		$17.84	$19.01	$65.16