Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $19.93 / $123.01	Facility		$19.93	$19.93	$123.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $25.82 / $123.01	Professional		$19.93	$25.82	$123.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $17.86 / $30.22	Facility		$15.00	$17.86	$30.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $25.30 / $47.80	Professional		$15.39	$25.30	$47.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $53.78 / $100.00	Professional		$32.85	$53.78	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $46.90 / $57.56	Professional		$42.64	$46.90	$57.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $53.30 / $98.07	Professional		$35.00	$53.30	$98.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $199.56 / $202.54	Facility		$85.00	$199.56	$202.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $418.74 / $435.49	Professional		$319.80	$418.74	$435.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.64 / $42.64 / $99.40	Facility		$42.64	$42.64	$99.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $45.14	Professional		$17.39	$17.39	$45.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $80.47 / $80.47	Professional		$80.47	$80.47	$80.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.46 / $57.04	Professional		$17.32	$18.46	$57.04