Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $18.18 / $159.06	Professional		$10.91	$18.18	$159.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $35.00 / $51.02	Facility		$29.75	$35.00	$51.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $19.51 / $93.90	Professional		$12.78	$19.51	$93.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.46 / $46.83	Professional		$9.42	$13.46	$46.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Facility		$76.47	$76.47	$76.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $35.13 / $51.10	Professional		$31.94	$35.13	$51.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $35.13 / $55.90	Professional		$28.75	$35.13	$55.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $151.72 / $151.72	Facility		$55.58	$151.72	$151.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $159.69 / $239.55	Professional		$159.69	$159.69	$239.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $38.33 / $51.10	Facility		$21.40	$38.33	$51.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $42.32	Professional		$16.80	$16.80	$42.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $98.69 / $98.69	Professional		$98.69	$98.69	$98.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.41 / $61.36	Professional		$8.92	$13.41	$61.36