Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $53.70	Facility		$3.98	$3.98	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.91 / $37.15	Professional		$3.98	$8.91	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.75 / $14.45	Facility		$4.47	$5.75	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.13 / $14.13	Professional		$4.47	$8.13	$14.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $28.84	Professional		$9.12	$13.18	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $17.38	Professional		$12.88	$14.13	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $28.84	Professional		$10.96	$14.13	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.88 / $23.44	Facility		$8.32	$12.88	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $12.30	Professional		$5.25	$5.25	$12.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $12.59	Professional		$4.79	$5.37	$12.59