Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.09 / $16.32	Professional		$8.59	$12.09	$16.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $12.27 / $12.27	Facility		$12.27	$12.27	$12.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $14.58 / $41.93	Professional		$10.67	$14.58	$41.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $105.97 / $238.90	Facility		$87.82	$105.97	$238.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $15.11 / $30.47	Professional		$10.58	$15.11	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $19.69 / $42.83	Professional		$10.89	$19.69	$42.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $7.56	Professional		$6.30	$6.30	$7.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $48.00 / $801.00	Professional		$7.49	$48.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $27.12 / $298.64	Facility		$23.74	$27.12	$298.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $284.63 / $294.02	Professional		$208.00	$284.63	$294.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $19.01 / $126.48	Facility		$12.91	$19.01	$126.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $20.70 / $36.97	Professional		$11.78	$20.70	$36.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.52 / $24.73	Professional		$8.66	$11.52	$24.73