Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $48.98	Professional		$16.98	$37.15	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $58.88	Professional		$22.39	$38.02	$58.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $190.55	Professional		$56.23	$131.83	$190.55
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 $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $39.81 / $56.23	Professional		$14.45	$39.81	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Professional		$46.77	$46.77	$64.57
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 $281.84 / $436.52 / $436.52	Professional		$281.84	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $57.54	Facility		$25.12	$50.12	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $63.10	Professional		$21.38	$21.38	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $45.71	Professional		$18.20	$21.38	$45.71