Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.62 / $75.30	Professional		$10.19	$13.62	$75.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $19.93 / $29.05	Facility		$16.94	$19.93	$29.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $14.62 / $54.11	Professional		$8.97	$14.62	$54.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $35.09	Professional		$7.06	$10.08	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Professional		$7.97	$7.97	$7.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $20.01 / $29.10	Professional		$18.19	$20.01	$29.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.01 / $31.83	Professional		$16.37	$20.01	$31.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.13 / $86.40	Facility		$75.00	$85.13	$86.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $90.59 / $136.43	Professional		$90.59	$90.59	$136.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $21.83 / $30.21	Facility		$14.10	$21.83	$30.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $23.53	Professional		$7.97	$7.97	$23.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $46.72 / $46.72	Professional		$46.72	$46.72	$46.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.88 / $27.01	Professional		$6.35	$6.88	$27.01