Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $57.54	Professional		$15.14	$26.92	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $104.71	Professional		$18.62	$40.74	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $83.18	Professional		$16.98	$36.31	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $69.18	Professional		$17.78	$34.67	$69.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $44.67	Professional		$21.38	$21.38	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $61.66	Professional		$15.85	$35.48	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $288.40	Professional		$218.78	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $47.86	Professional		$28.84	$28.84	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $60.26	Facility		$17.78	$34.67	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.02 / $74.13	Professional		$18.62	$38.02	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $47.86	Professional		$14.45	$25.70	$47.86