Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $25.55 / $218.97	Professional		$19.01	$25.55	$218.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $48.18 / $70.23	Facility		$40.95	$48.18	$70.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $27.43 / $129.27	Professional		$17.59	$27.43	$129.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $18.92 / $65.81	Professional		$13.24	$18.92	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $105.05 / $105.05	Facility		$105.05	$105.05	$105.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $48.37 / $70.34	Professional		$43.97	$48.37	$70.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $48.37 / $76.95	Professional		$39.57	$48.37	$76.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $208.86 / $208.86	Facility		$75.00	$208.86	$208.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $219.85 / $329.78	Professional		$219.85	$219.85	$329.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $52.76 / $70.34	Facility		$29.46	$52.76	$70.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $55.84	Professional		$23.12	$23.12	$55.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $135.86 / $135.86	Professional		$135.86	$135.86	$135.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.47 / $84.47	Professional		$12.54	$18.47	$84.47