Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $25.05 / $31.20	Facility		$21.49	$25.05	$31.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $21.49 / $31.56	Professional		$7.53	$21.49	$31.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.53 / $7.66	Facility		$3.80	$4.53	$7.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $6.40 / $13.09	Professional		$3.90	$6.40	$13.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $13.91 / $27.33	Professional		$8.53	$13.91	$27.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $11.89 / $14.59	Professional		$10.81	$11.89	$14.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $13.51 / $24.86	Professional		$9.73	$13.51	$24.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $90.00 / $90.00	Facility		$21.94	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $167.85 / $174.56	Professional		$90.00	$167.85	$174.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $10.81 / $39.13	Facility		$10.81	$10.81	$39.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $11.45	Professional		$4.41	$4.41	$11.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $20.39	Professional		$20.39	$20.39	$20.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.90 / $14.07	Professional		$4.46	$4.90	$14.07