Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $11.42 / $16.13	Professional		$5.76	$11.42	$16.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $33.58 / $33.58	Facility		$33.58	$33.58	$33.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $15.44 / $18.60	Professional		$7.14	$15.44	$18.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $50.95 / $80.44	Professional		$28.46	$50.95	$80.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $12.26 / $20.46	Professional		$8.17	$12.26	$20.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $16.73 / $23.25	Professional		$16.73	$16.73	$23.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $88.35 / $100.00	Facility		$80.00	$88.35	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $127.13 / $139.50	Professional		$124.16	$127.13	$139.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $18.60 / $18.60	Facility		$9.86	$18.60	$18.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $21.80	Professional		$6.70	$6.70	$21.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Professional		$35.11	$35.11	$35.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.96 / $26.09	Professional		$6.44	$6.96	$26.09