Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $14.85 / $26.74	Professional		$9.46	$14.85	$26.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $51.80 / $51.80	Facility		$51.80	$51.80	$51.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $27.49 / $30.55	Professional		$9.44	$27.49	$30.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $74.53 / $105.89	Professional		$38.07	$74.53	$105.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $23.00 / $31.56	Professional		$15.33	$23.00	$31.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $68.00	Professional		$25.82	$25.82	$68.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $136.28	Facility		$80.00	$100.00	$136.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $151.22 / $184.35	Professional		$151.22	$151.22	$184.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $28.69 / $30.55	Facility		$16.70	$28.69	$30.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $33.04	Professional		$11.00	$11.00	$33.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $54.13 / $54.13	Professional		$54.13	$54.13	$54.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $11.43 / $34.22	Professional		$10.57	$11.43	$34.22