Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $120.86	Facility		$12.88	$12.88	$120.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.16 / $120.86	Professional		$12.88	$18.16	$120.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $17.55 / $29.69	Facility		$14.74	$17.55	$29.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $24.64 / $50.76	Professional		$15.12	$24.64	$50.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $51.89 / $100.00	Professional		$31.33	$51.89	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Professional		$17.09	$17.09	$17.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $46.08 / $56.55	Professional		$41.89	$46.08	$56.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $52.36 / $96.35	Professional		$37.70	$52.36	$96.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $196.05 / $198.98	Facility		$85.00	$196.05	$198.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $282.97 / $314.18	Professional		$272.08	$282.97	$314.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $41.89 / $72.56	Facility		$33.49	$41.89	$72.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $44.35	Professional		$17.09	$17.09	$44.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Professional		$79.06	$79.06	$79.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.14 / $60.51	Professional		$17.02	$18.14	$60.51