Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $15.18 / $137.07	Facility		$15.18	$15.18	$137.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $19.73 / $114.00	Professional		$15.17	$19.73	$114.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $19.89 / $33.65	Facility		$16.70	$19.89	$33.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $27.93 / $57.57	Professional		$17.14	$27.93	$57.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $59.93 / $109.69	Professional		$36.60	$59.93	$109.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $52.26 / $64.14	Professional		$47.51	$52.26	$64.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $59.39 / $109.27	Professional		$38.00	$59.39	$109.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $222.35 / $225.67	Facility		$85.00	$222.35	$225.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $332.59 / $356.33	Professional		$319.80	$332.59	$356.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $47.51 / $85.22	Facility		$38.88	$47.51	$85.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $50.30	Professional		$19.38	$19.38	$50.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $89.66	Professional		$89.66	$89.66	$89.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $20.57 / $53.21	Professional		$19.52	$20.57	$53.21