Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Facility		$6.13	$6.13	$6.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.04 / $28.80	Professional		$6.13	$11.04	$28.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $6.07 / $10.27	Facility		$5.09	$6.07	$10.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $8.60 / $16.25	Professional		$5.23	$8.60	$16.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $18.67 / $36.65	Professional		$11.46	$18.67	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $15.95 / $19.57	Professional		$14.50	$15.95	$19.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.13 / $33.35	Professional		$12.00	$18.13	$33.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $90.00 / $90.00	Facility		$29.44	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $127.21 / $132.30	Professional		$108.75	$127.21	$132.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.50 / $30.36	Facility		$13.90	$14.50	$30.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $15.35	Professional		$5.92	$5.92	$15.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.58 / $22.58	Professional		$6.15	$6.58	$22.58