Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $32.85 / $46.71	Facility		$28.19	$32.85	$46.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $24.91 / $46.71	Professional		$9.71	$24.91	$46.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $6.78 / $11.47	Facility		$5.69	$6.78	$11.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $9.60 / $18.14	Professional		$5.84	$9.60	$18.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $20.85 / $40.92	Professional		$12.80	$20.85	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $17.80 / $21.86	Professional		$16.19	$17.80	$21.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.23 / $37.24	Professional		$13.00	$20.23	$37.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $90.00 / $93.85	Facility		$32.86	$90.00	$93.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $217.33 / $226.02	Professional		$121.43	$217.33	$226.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $51.65	Facility		$16.19	$16.19	$51.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $17.14	Professional		$6.60	$6.60	$17.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $7.01 / $18.13	Professional		$6.58	$7.01	$18.13