Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $28.98 / $136.13	Facility		$28.98	$28.98	$136.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $28.98 / $136.13	Professional		$28.31	$28.98	$136.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $19.77 / $33.45	Facility		$16.61	$19.77	$33.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $28.00 / $52.94	Professional		$17.04	$28.00	$52.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $59.55 / $108.92	Professional		$36.36	$59.55	$108.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $51.90 / $63.69	Professional		$47.18	$51.90	$63.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $58.98 / $108.51	Professional		$28.31	$58.98	$108.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $237.67 / $263.91	Facility		$95.78	$237.67	$263.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $353.85 / $609.54 / $633.92	Professional		$353.85	$609.54	$633.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $144.79	Facility		$47.18	$47.18	$144.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $49.94	Professional		$19.25	$19.25	$49.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Professional		$89.05	$89.05	$89.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $20.44 / $61.38	Professional		$19.18	$20.44	$61.38