Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $63.10	Professional		$25.70	$57.54	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $87.10	Professional		$26.92	$60.26	$87.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $263.03	Professional		$79.43	$181.97	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $85.11	Professional		$37.15	$56.23	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $87.10	Professional		$64.57	$64.57	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $524.81	Professional		$363.08	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $74.13	Facility		$36.31	$72.44	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $79.43	Professional		$31.62	$31.62	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $64.57	Professional		$28.18	$32.36	$64.57