Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $6.59 / $32.79	Facility		$6.59	$6.59	$32.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $7.92 / $32.79	Professional		$6.59	$7.92	$32.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.76 / $8.07	Facility		$4.01	$4.76	$8.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $6.80 / $12.75	Professional		$4.11	$6.80	$12.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $14.68 / $28.73	Professional		$9.01	$14.68	$28.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.51 / $15.35	Professional		$11.37	$12.51	$15.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.21 / $26.15	Professional		$10.00	$14.21	$26.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $90.00 / $90.00	Facility		$23.08	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $137.82 / $143.33	Professional		$85.28	$137.82	$143.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $32.72	Facility		$11.37	$11.37	$32.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $12.03	Professional		$4.63	$4.63	$12.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $21.45	Professional		$21.45	$21.45	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.16 / $12.73	Professional		$4.62	$5.16	$12.73