Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $48.55	Facility		$6.13	$6.13	$48.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.44 / $48.55	Professional		$6.13	$9.44	$48.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $7.06 / $11.94	Facility		$5.93	$7.06	$11.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $9.99 / $20.39	Professional		$6.08	$9.99	$20.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $21.72 / $42.53	Professional		$13.33	$21.72	$42.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $18.51 / $22.72	Professional		$16.82	$18.51	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $21.04 / $38.71	Professional		$10.10	$21.04	$38.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $90.00 / $90.00	Facility		$34.15	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $127.21 / $132.30	Professional		$126.23	$127.21	$132.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $16.82 / $31.52	Facility		$15.06	$16.82	$31.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $17.82	Professional		$6.87	$6.87	$17.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $31.75 / $31.75	Professional		$31.75	$31.75	$31.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.63 / $22.51	Professional		$6.84	$7.63	$22.51