Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $97.16	Facility		$12.26	$12.26	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $17.98 / $97.16	Professional		$12.26	$17.98	$97.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $14.10 / $23.85	Facility		$11.84	$14.10	$23.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $19.98 / $37.74	Professional		$12.15	$19.98	$37.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $43.37 / $85.12	Professional		$26.55	$43.37	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $37.04 / $45.47	Professional		$33.68	$37.04	$45.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $42.10 / $77.45	Professional		$20.21	$42.10	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $157.62 / $159.97	Facility		$68.37	$157.62	$159.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $256.19 / $266.43	Professional		$252.60	$256.19	$266.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $33.68 / $63.49	Facility		$30.12	$33.68	$63.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $35.65	Professional		$13.74	$13.74	$35.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $63.56 / $63.56	Professional		$63.56	$63.56	$63.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $15.27 / $47.22	Professional		$13.84	$15.27	$47.22