Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.65 / $48.00	Professional		$9.35	$11.65	$48.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $10.46 / $17.69	Facility		$8.77	$10.46	$17.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $14.80 / $28.00	Professional		$9.01	$14.80	$28.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $32.17 / $63.14	Professional		$19.75	$32.17	$63.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $27.48 / $33.72	Professional		$24.98	$27.48	$33.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $31.23 / $57.45	Professional		$20.00	$31.23	$57.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $116.91 / $118.66	Facility		$50.71	$116.91	$118.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $197.89 / $205.81	Professional		$187.35	$197.89	$205.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $24.98 / $47.58	Facility		$23.37	$24.98	$47.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $26.44	Professional		$10.19	$10.19	$26.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.81 / $27.98	Professional		$10.08	$10.81	$27.98