Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $45.71	Professional		$18.20	$37.15	$45.71
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 $20.89 / $39.81 / $61.66	Professional		$20.89	$39.81	$61.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $123.03 / $177.83	Professional		$53.70	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $53.70	Professional		$18.62	$25.12	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $457.09	Professional		$288.40	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $48.98 / $57.54	Facility		$25.12	$48.98	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $72.44	Professional		$22.39	$22.39	$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 $18.62 / $22.39 / $43.65	Professional		$18.62	$22.39	$43.65