Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $32.88 / $60.00	Professional		$16.85	$32.88	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $81.05 / $81.05	Facility		$81.05	$81.05	$81.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $45.17 / $54.42	Professional		$20.17	$45.17	$54.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $113.48 / $165.75	Professional		$59.57	$113.48	$165.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $25.00 / $49.38	Professional		$18.48	$25.00	$49.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $109.00	Professional		$40.40	$40.40	$109.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $100.00 / $217.85	Facility		$42.20	$100.00	$217.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $261.22 / $408.15	Professional		$261.22	$261.22	$408.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $44.89 / $45.54	Facility		$26.99	$44.89	$45.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $59.83	Professional		$19.59	$19.59	$59.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $84.73 / $84.73	Professional		$84.73	$84.73	$84.73
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $20.36 / $62.96	Professional		$18.82	$20.36	$62.96