Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.23 / $134.71	Professional		$18.14	$24.23	$134.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $29.64 / $43.21	Facility		$25.19	$29.64	$43.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $26.01 / $97.65	Professional		$15.96	$26.01	$97.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.94 / $62.41	Professional		$12.56	$17.94	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Facility		$64.88	$64.88	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $29.76 / $43.28	Professional		$27.05	$29.76	$43.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $29.76 / $47.34	Professional		$24.35	$29.76	$47.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $128.49 / $128.49	Facility		$47.07	$128.49	$128.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $146.19 / $202.88	Professional		$142.29	$146.19	$202.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $32.46 / $53.79	Facility		$24.59	$32.46	$53.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $34.35	Professional		$14.22	$14.22	$34.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $83.58 / $83.58	Professional		$83.58	$83.58	$83.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.19 / $51.96	Professional		$11.36	$12.19	$51.96