Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $15.55	Facility		$3.99	$3.99	$15.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.99 / $15.90	Professional		$3.44	$3.99	$15.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.25 / $3.83	Facility		$1.90	$2.25	$3.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.22 / $6.08	Professional		$1.95	$3.22	$6.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.96 / $13.62	Professional		$4.26	$6.96	$13.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.93 / $7.28	Professional		$5.39	$5.93	$7.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.28 / $14.00	Professional		$4.84	$7.28	$14.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $90.00 / $90.00	Facility		$10.94	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $83.04 / $86.36	Professional		$46.00	$83.04	$86.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.39 / $19.80	Facility		$5.39	$5.39	$19.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $5.70	Professional		$2.20	$2.20	$5.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.34 / $7.01	Professional		$2.18	$2.34	$7.01