Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $77.62	Professional		$30.90	$67.61	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $104.71	Professional		$35.48	$72.44	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $354.81	Professional		$104.71	$245.47	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $104.71	Professional		$42.66	$64.57	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $138.04	Professional		$85.11	$85.11	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $724.44	Professional		$467.74	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $104.71	Facility		$50.12	$89.13	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $79.43	Professional		$38.02	$38.02	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $81.28	Professional		$32.36	$38.02	$81.28