Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $26.49 / $46.75	Professional		$19.82	$26.49	$46.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $29.03 / $42.31	Facility		$24.67	$29.03	$42.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $33.18 / $113.93	Professional		$20.87	$33.18	$113.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $23.46 / $96.41	Professional		$16.42	$23.46	$96.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Facility		$63.34	$63.34	$63.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $29.14 / $42.38	Professional		$26.49	$29.14	$42.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $29.14 / $50.60	Professional		$23.84	$29.14	$50.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $126.18 / $126.18	Facility		$51.18	$126.18	$126.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $192.41 / $198.68	Professional		$187.28	$192.41	$198.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $32.58 / $68.81	Facility		$26.49	$32.58	$68.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $38.15	Professional		$13.93	$13.93	$38.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.76 / $50.89	Professional		$11.13	$15.76	$50.89