Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $50.12	Professional		$19.05	$37.15	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $64.57	Professional		$23.44	$41.69	$64.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $177.83	Professional		$52.48	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $52.48	Professional		$18.20	$25.12	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $67.61	Professional		$43.65	$43.65	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $467.74	Professional		$309.03	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $47.86 / $58.88	Facility		$25.12	$47.86	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $72.44	Professional		$22.91	$22.91	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $43.65	Professional		$19.50	$23.44	$43.65