Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $64.57	Professional		$25.12	$53.70	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $83.18	Professional		$31.62	$60.26	$83.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $269.15	Professional		$81.28	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $81.28	Professional		$25.12	$25.70	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $85.11	Professional		$66.07	$66.07	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $616.60	Professional		$389.05	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $81.28	Facility		$35.48	$70.79	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $72.44	Professional		$30.20	$30.20	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $63.10	Professional		$25.70	$30.20	$63.10