Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $20.39 / $28.41	Professional		$10.45	$20.39	$28.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $59.18 / $59.18	Facility		$59.18	$59.18	$59.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $28.00 / $33.74	Professional		$9.72	$28.00	$33.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $85.15 / $121.03	Professional		$43.49	$85.15	$121.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $36.06 / $39.34	Professional		$32.78	$36.06	$39.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $29.50 / $40.98	Professional		$22.00	$29.50	$40.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $155.71	Facility		$80.00	$100.00	$155.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $167.01 / $189.83	Professional		$167.01	$167.01	$189.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $32.78 / $33.74	Facility		$17.32	$32.78	$33.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $36.51	Professional		$12.15	$12.15	$36.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Professional		$61.88	$61.88	$61.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $12.62 / $36.26	Professional		$11.68	$12.62	$36.26