Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $29.70	Facility		$8.13	$8.13	$29.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $30.36	Professional		$6.31	$8.13	$30.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.32 / $7.30	Facility		$3.63	$4.32	$7.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.10 / $11.59	Professional		$3.72	$6.10	$11.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $13.26 / $26.02	Professional		$8.14	$13.26	$26.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $11.32 / $13.89	Professional		$10.29	$11.32	$13.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.86 / $23.67	Professional		$9.26	$12.86	$23.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $90.00 / $90.00	Facility		$20.89	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $173.14 / $180.06	Professional		$94.00	$173.14	$180.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $40.70	Facility		$10.29	$10.29	$40.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $11.00	Professional		$4.20	$4.20	$11.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Professional		$19.43	$19.43	$19.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.83 / $18.84	Professional		$4.37	$4.83	$18.84