Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $30.75 / $54.18	Professional		$20.07	$30.75	$54.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $24.59	Facility		$24.59	$24.59	$24.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $37.84 / $91.74	Professional		$21.80	$37.84	$91.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $103.44 / $281.39	Facility		$95.10	$103.44	$281.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $33.17 / $67.06	Professional		$19.37	$33.17	$67.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $42.05 / $82.61	Professional		$23.55	$42.05	$82.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $15.90 / $40.00	Professional		$12.72	$15.90	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $44.64 / $93.40	Professional		$23.04	$44.64	$93.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $111.44 / $111.44	Facility		$102.96	$111.44	$111.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $247.97 / $328.65	Professional		$148.76	$247.97	$328.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $40.36 / $68.51	Facility		$24.39	$40.36	$68.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $44.45 / $91.76	Professional		$23.83	$44.45	$91.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $36.79 / $73.70	Professional		$28.94	$36.79	$73.70