Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $72.44	Professional		$28.18	$57.54	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $66.07 / $93.33	Professional		$31.62	$66.07	$93.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $316.23	Professional		$93.33	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $93.33	Professional		$36.31	$39.81	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $645.65	Professional		$416.87	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $93.33	Facility		$42.66	$75.86	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Professional		$33.88	$33.88	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $72.44	Professional		$28.18	$33.88	$72.44