Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $14.56 / $68.15	Facility		$14.56	$14.56	$68.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.56 / $68.15	Professional		$14.17	$14.56	$68.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $9.89 / $16.73	Facility		$8.30	$9.89	$16.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.00 / $26.47	Professional		$8.52	$14.00	$26.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $30.42 / $59.71	Professional		$18.68	$30.42	$59.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $25.97 / $31.87	Professional		$23.61	$25.97	$31.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $29.51 / $54.30	Professional		$14.17	$29.51	$54.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $119.12 / $132.27	Facility		$47.93	$119.12	$132.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.08 / $305.66 / $317.89	Professional		$177.08	$305.66	$317.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $72.00	Facility		$23.61	$23.61	$72.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $25.00	Professional		$9.63	$9.63	$25.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $44.58 / $44.58	Professional		$44.58	$44.58	$44.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.34 / $26.44	Professional		$9.59	$10.34	$26.44